Rm Flores Md Inc. | |
296 H St Ste 201 Chula Vista CA 91910-4779 | |
(619) 476-9054 | |
(619) 476-9056 |
Full Name | Rm Flores Md Inc. |
---|---|
Speciality | Internal Medicine |
Location | 296 H St Ste 201, Chula Vista, California |
Authorized Official Name and Position | Rocio M Flores (OWNER) |
Authorized Official Contact | 6192715551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rm Flores Md Inc. Po Box 34082 San Diego CA 92163-4082 Ph: (619) 271-5551 | Rm Flores Md Inc. 296 H St Ste 201 Chula Vista CA 91910-4779 Ph: (619) 476-9054 |
NPI Number | 1649746819 |
---|---|
Provider Enumeration Date | 10/16/2018 |
Last Update Date | 07/23/2020 |
Medicare PECOS PAC ID | 5092069690 |
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Medicare Enrollment ID | O20181119000828 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649746819 | NPI | - | NPPES |
00A694240 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rocio Flores |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881607067 PECOS PAC ID: 7911047964 Enrollment ID: I20200805000891 |
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