MEDICARE: ISRAEL ALEJANDRO TORRES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	2255A2300X	Athletic Trainer	TX
2	146N00000X	Basic Emergency Medical Technician	TX
3	390200000X	Student in an Organized Health Care Education/Training Program	TX

General Provider Information

NPI Number	:	1487502423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISRAEL ALEJANDRO TORRES

Provider Business Mailing Address
First Line	:	2720 BERWICK RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-5204
Country	:	US
Telephone Number	:	915-490-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 BERWICK RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-5204
Country	:	US
Telephone Number	:	915-490-0100
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	05/28/2026

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