Individual
MR. RANDY TORRES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5656
(602) 954-0444
Mailing address
2113 S 114TH AVE, AVONDALE, AZ 85323-9181
(623) 433-6783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
324485
AZ
207R00000X
Internal Medicine Physician
324485
AZ
363LF0000X
Family Nurse Practitioner
Primary
324485
AZ
Other
Enumeration date
05/13/2025
Last updated
08/12/2025
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