Provider Demographics
NPI:1871804567
Name:MOLINA BOERO, MARIA FLORENCIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FLORENCIA
Last Name:MOLINA BOERO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-922-7000
Mailing Address - Fax:210-653-6540
Practice Address - Street 1:5542 WALZEM RD
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78218-2103
Practice Address - Country:US
Practice Address - Phone:210-922-7000
Practice Address - Fax:210-653-5640
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2024-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283888001Medicaid
TXTXB133484Medicare Oscar/Certification