MEDICARE: RUTH FLORES-TORRES CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	CNP00495	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306957808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH FLORES-TORRES CNP

Provider Business Mailing Address
First Line	:	2333 N GONZALES ST
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4131
Country	:	US
Telephone Number	:	505-429-8013
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 N GONZALES ST
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4131
Country	:	US
Telephone Number	:	505-429-8013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/15/2014

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