Provider Demographics
NPI:1801487749
Name:FLORES, ANA HILDA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:HILDA
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 TUCKERMAN ST NW APT 205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1097
Mailing Address - Country:US
Mailing Address - Phone:202-393-9185
Mailing Address - Fax:
Practice Address - Street 1:1436 TUCKERMAN ST NW APT A6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1097
Practice Address - Country:US
Practice Address - Phone:202-393-9185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1956315OtherIDENTIFICATION CARD