Organization Active NPI

Flores Medical Corporation

  • Specialist
  • Las Cruces, NM
National Provider Identifier
1558550269
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20020142 Issued in NM
Legal business name
FLORES MEDICAL CORPORATION
Practice address
2902 Hillrise Dr
Las Cruces, NM 88011-4702
Phone
(505) 522-5755
Fax
(505) 521-9385
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. John A Flores, MD
Title
President
Phone
(505) 522-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20020142 NM Primary

Addresses

Primary practice location

2902 Hillrise Dr
Las Cruces, NM 88011-4702

Mailing address

2902 Hillrise Dr
Las Cruces, NM 88011-4702
Phone (505) 522-5755

Other identifiers 3

IdentifierTypeStateIssuer
73270OtherPRESBYTERIAN
95878238MedicaidNM
NM009953OtherNMBCBS

National Provider Directory

National Provider Directory

Locations

2900 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 556-1300

2902 Hillrise Dr
Las Cruces, NM 88011
Phone (575) 522-0051

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1558550269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "505-522-5755",
            "fax_number": "505-521-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "505-522-5755",
            "fax_number": "505-521-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORES MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-522-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "20020142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "73270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95878238",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009953",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.