Provider Demographics
NPI:1124448477
Name:GARCIA-FLORES, MARIA AIDE
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:AIDE
Last Name:GARCIA-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 1:5007 S CAT MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85757-9267
Mailing Address - Country:US
Mailing Address - Phone:520-982-1730
Mailing Address - Fax:
Practice Address - Street 1:5007 S CAT MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85757-9267
Practice Address - Country:US
Practice Address - Phone:520-982-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-114251041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool