OrganizationAlejandra Flores Virgil(<Unavail>)DentistDental ProvidersPractice AddressMar Adriatico 10239-4, Tijuana, Tijuana 22010 (Mexico)(619) 646-7461PECOS EnrollmentBased on the most recent information from CMS, provider Alejandra Flores Virgil does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255735379Provider TypeOrganizationFull NameAlejandra Flores VirgilOther Name<Unavail>SubpartNoEnumeration Date10/17/2014Last Updated10/17/2014Contact InformationPractice LocationPractice AddressMar Adriatico 10239-4, Tijuana, Tijuana 22010 (Mexico)Phone(619) 646-7461FaxUnlisted FaxMailing LocationMailing Address416 W San Ysidro Blvd, Suite L-1617, San Ysidro, CA 92173-2443PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameFlores, Alejandra (Owner)Phone(619) 646-7461Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense6468458Code122300000XDescriptionDentistDental ProvidersLicense6468458