Provider Demographics
NPI:1487929725
Name:FLORES, ANA TERESA (BA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:TERESA
Last Name:FLORES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9047 ARROW RTE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4449
Mailing Address - Country:US
Mailing Address - Phone:909-466-8696
Mailing Address - Fax:909-948-0457
Practice Address - Street 1:9047 ARROW RTE
Practice Address - Street 2:SUITE 170
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4449
Practice Address - Country:US
Practice Address - Phone:909-466-8696
Practice Address - Fax:909-948-0457
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator