Healthcare Provider Details

I. General information

NPI: 1003798372
Provider Name (Legal Business Name): KARLA ALEJANDRA IRIGOYEN TORRES OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 MCNUTT RD
SANTA TERESA NM
88008-9621
US

IV. Provider business mailing address

1776 CIMARRON SQ APT 408
EL PASO TX
79911-2205
US

V. Phone/Fax

Practice location:
  • Phone: 575-882-6101
  • Fax:
Mailing address:
  • Phone: 915-282-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2025-0092
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: