Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 18123 | NV |
N | 208600000X | Surgeon | 18123 | NV |
Y | 2086S0102X | Surgical Critical Care | 18123 | NV |
NPI | 1174966576 |
---|---|
Provider Name | Carmen Elena Flores |
First Address | Las Vegas, NV 89102-1973 |
Second Address | Las Vegas, NV 89102-2354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 18/08/2021 |