Marco Antonio Flores

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

767401 Issued in CA

Practice address

21507 E Cliff Dr
Santa Cruz, CA 95062-4844

Phone

(831) 427-3500

NPI assigned

Jul 16, 2016

Last updated

Jul 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marco Antonio Hernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1215380027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 WILLOWBROOK LN",
            "address_2": "UNIT 33",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950036013",
            "telephone_number": "626-376-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21507 E CLIFF DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624844",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "767401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCO",
            "last_name": "HERNANDEZ",
            "middle_name": "ANTONIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Ines Flores Tapia
• Anthony Flores
• Inti Flores, M.D.
• Lauren Flores
• Leo Flores III
• Mayra Flores
• Meredith Flores, LCSW
• Sarah Olivia Flores, FNP
• Stacey Amber Flores, NP
• Aarron Flowers

• Registered Nurse in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.