Individual
IDETTE MARIA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 JACKIE RD SE, RIO RANCHO, NM 87124-6618
(505) 862-6523
Mailing address
1316 JACKIE RD SE, RIO RANCHO, NM 87124-6618
(505) 862-6523
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
85654
NM
Other
Enumeration date
09/05/2025
Last updated
10/24/2025
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