Healthcare Provider Details

I. General information

NPI: 1336488980
Provider Name (Legal Business Name): ARMANDO TORRES JR. B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 LOPEZ RD SW
ALBUQUERQUE NM
87105-3954
US

IV. Provider business mailing address

1610 BRENDA RD SE
RIO RANCHO NM
87124-2724
US

V. Phone/Fax

Practice location:
  • Phone: 505-877-7060
  • Fax:
Mailing address:
  • Phone: 505-896-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: