MEDICARE: MARTHA ALICIA TORRES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker		TX

General Provider Information

NPI Number	:	1457537656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ALICIA TORRES

Provider Business Mailing Address
First Line	:	354 PETTY LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-4516
Country	:	US
Telephone Number	:	915-858-3754
Fax Number	:

Provider Business Practice Location Address
First Line	:	354 PETTY LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-4516
Country	:	US
Telephone Number	:	915-858-3754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	01/17/2008

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Directions to “ MARTHA ALICIA TORRES ” Practice Location

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