Provider Demographics
NPI:1679451546
Name:FLORES, CONSUELO MEDINA
Entity type:Individual
Prefix:MRS
First Name:CONSUELO
Middle Name:MEDINA
Last Name: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 1:34603 PLUMLEY RD
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-6326
Mailing Address - Country:US
Mailing Address - Phone:760-770-8617
Mailing Address - Fax:
Practice Address - Street 1:34603 PLUMLEY RD
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-6326
Practice Address - Country:US
Practice Address - Phone:760-770-8617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach