Healthcare Provider Details

I. General information

NPI: 1346900628
Provider Name (Legal Business Name): TORRES FAMILY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1648 ALAMEDA BLVD NW
ALBUQUERQUE NM
87114-8807
US

IV. Provider business mailing address

1648 ALAMEDA BLVD NW
ALBUQUERQUE NM
87114-8807
US

V. Phone/Fax

Practice location:
  • Phone: 505-585-0085
  • Fax: 505-522-8016
Mailing address:
  • Phone: 505-585-0085
  • Fax: 505-522-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA TORRES
Title or Position: OWNER
Credential: FNP-C
Phone: 505-585-0085