Healthcare Provider Details

I. General information

NPI: 1770546756
Provider Name (Legal Business Name): RUBEN J. TORREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6349 US HIGHWAY 550
CUBA NM
87013-6032
US

IV. Provider business mailing address

6349 US HIGHWAY 550
CUBA NM
87013-6032
US

V. Phone/Fax

Practice location:
  • Phone: 505-289-3291
  • Fax: 505-443-8303
Mailing address:
  • Phone: 575-289-3291
  • Fax: 505-443-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU1563
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2004-0096
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: