Healthcare Provider Details

I. General information

NPI: 1720972557
Provider Name (Legal Business Name): GET WELL ON THE WAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WASHINGTON AVE
SANTA FE NM
87501-2073
US

IV. Provider business mailing address

150 WASHINGTON AVE
SANTA FE NM
87501-2073
US

V. Phone/Fax

Practice location:
  • Phone: 505-444-2400
  • Fax:
Mailing address:
  • Phone: 505-444-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JUVENAL BRANDON TORRES
Title or Position: OWNER
Credential:
Phone: 505-444-2400