Healthcare Provider Details

I. General information

NPI: 1821484528
Provider Name (Legal Business Name): HCP SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 CARLISLE BLVD NE
ALBUQUERQUE NM
87110-2807
US

IV. Provider business mailing address

2925 CARLISLE BLVD. NE
ALBUQUERQUE NM
87110
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 TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberCL00010864
License Number StateNM

VIII. Authorized Official

Name: MS. RITA A TORRES
Title or Position: CEO/PRESIDENT
Credential:
Phone: 505-268-0700