Healthcare Provider Details

I. General information

NPI: 1194362137
Provider Name (Legal Business Name): MARIA PAZ DE LA TORRE HERRERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W COUNTRY CLUB RD STE 201
ROSWELL NM
88201-5225
US

IV. Provider business mailing address

601 W COUNTRY CLUB RD STE 201
ROSWELL NM
88201-5225
US

V. Phone/Fax

Practice location:
  • Phone: 575-627-0535
  • Fax: 575-627-5590
Mailing address:
  • Phone: 575-627-0535
  • Fax: 575-627-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberNM2025-1235
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: