Individual
MR. MATTHEW SHAWN DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2203 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-1107
(949) 607-6381
Mailing address
2203 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-1107
(949) 607-6381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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