Provider Demographics
NPI:1629800230
Name:FLORES, GUADALUPE JR (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:GUADALUPE
Middle Name:
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7288
Mailing Address - Country:US
Mailing Address - Phone:956-603-1553
Mailing Address - Fax:956-800-6369
Practice Address - Street 1:1116 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7288
Practice Address - Country:US
Practice Address - Phone:956-603-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
TX1173949363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No253Z00000XAgenciesIn Home Supportive Care