Healthcare Provider Details

I. General information

NPI: 1932653417
Provider Name (Legal Business Name): MELISSA T TORRES DNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 08/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE PHYSICIANS OFFICE BLDG #08213
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

2817 CEDRO LN SE
RIO RANCHO NM
87124-4162
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-6100
  • Fax: 505-253-6179
Mailing address:
  • Phone: 505-263-4583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCNP-02947
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: