| Ildefonzo Flores Md Pa | |
|
1520 E San Pedro Ste 101 Laredo TX 78041 | |
| (956) 724-1698 | |
| Not Available |
| Full Name | Ildefonzo Flores Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 E San Pedro Ste 101, Laredo, Texas |
| Authorized Official Name and Position | Ildefonzo Flores (PRESIDENT) |
| Authorized Official Contact | 9567241698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ildefonzo Flores Md Pa Po Box 440843 Laredo TX 78044-0843 Ph: (956) 724-1698 | Ildefonzo Flores Md Pa 1520 E San Pedro Ste 101 Laredo TX 78041 Ph: (956) 724-1698 |
| NPI Number | 1851578355 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 6002994381 |
|---|---|
| Medicare Enrollment ID | O20080428000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851578355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ildefonzo Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205867595 PECOS PAC ID: 4385722669 Enrollment ID: I20080428000345 |
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