Provider Demographics
NPI:1043469125
Name:SALVADOR MUNOZ-FLORES
Entity type:Organization
Organization Name:SALVADOR MUNOZ-FLORES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ-FLORES
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-725-8483
Mailing Address - Street 1:5901 MCPHERSON RD
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6173
Mailing Address - Country:US
Mailing Address - Phone:956-725-8483
Mailing Address - Fax:956-725-4634
Practice Address - Street 1:5901 MCPHERSON RD
Practice Address - Street 2:SUITE 7B
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6173
Practice Address - Country:US
Practice Address - Phone:956-725-8483
Practice Address - Fax:956-725-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144403602Medicaid