De La Torre, Alfonso R

De La Torre, Alfonso R is an individual health care provider with primary practice located at 6500 Jefferson St Ne Ste 100, Albuquerque NM 87109-3486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. De La Torre, Alfonso R can be contacted via phone (505) 875-0103.

Contact Information

Primary practice address
6500 Jefferson St Ne Ste 100 Albuquerque NM 87109-3486
Fax: (505) 875-0388
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 75191 New Mexico

Profile Details

NPI number 1295717833
LBN Legal business name De La Torre, Alfonso R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295717833 NPPES
New Mexico MEDICAID 79726

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