Healthcare Provider Details

I. General information

NPI: 1518178292
Provider Name (Legal Business Name): HEALTH CARE PARTNERS SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8307 CONSTITUTION AVE. NE
ALBUQUERQUE NM
87110-7612
US

IV. Provider business mailing address

8307 CONSTITUTION AVE. NE
ALBUQUERQUE NM
87110-7612
US

V. Phone/Fax

Practice location:
  • Phone: 505-268-0700
  • Fax: 505-268-1265
Mailing address:
  • Phone: 505-268-0700
  • Fax: 505-268-1265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34753
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberCL00010864
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RITA TORRES
Title or Position: CEO
Credential:
Phone: 505-268-0700