Provider Demographics
NPI:1043043581
Name:FLORES, RAQUEL (RN)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4727 HONDO PASS DR STE E
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1471
Mailing Address - Country:US
Mailing Address - Phone:915-201-0929
Mailing Address - Fax:
Practice Address - Street 1:4727 HONDO PASS DR STE E
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1471
Practice Address - Country:US
Practice Address - Phone:915-201-0929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator