Healthcare Provider Details

I. General information

NPI: 1437463049
Provider Name (Legal Business Name): TORRES MEDICAL CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 ALAMOS RD
CORRALES NM
87048-7360
US

IV. Provider business mailing address

438 ALAMOS RD
CORRALES NM
87048-7360
US

V. Phone/Fax

Practice location:
  • Phone: 505-890-0387
  • Fax:
Mailing address:
  • Phone: 505-890-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number81329
License Number StateNM

VIII. Authorized Official

Name: FRANCISCO Y TORRES
Title or Position: OWNER
Credential: MD
Phone: 505-890-0387