Provider Demographics
NPI:1669419479
Name:FLORES-GONZALEZ, MARIA ELIZABETH (CRNA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:FLORES-GONZALEZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13838 SW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5942
Mailing Address - Country:US
Mailing Address - Phone:305-829-7130
Mailing Address - Fax:305-829-7131
Practice Address - Street 1:13838 SW 53RD ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5942
Practice Address - Country:US
Practice Address - Phone:305-829-7130
Practice Address - Fax:305-829-7131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARPN 9208933374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel