Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31493 | AL |
N | 111NI0900X | Internist | 31493 | AL |
N | 207R00000X | Internist | 4301090551 | MI |
N | 111NI0900X | Internist | 4301090551 | MI |
N | 207RG0100X | Gastroenterologist | MD.31493 | AL |
Y | 207RG0100X | Gastroenterologist | MD2016-0655 | NM |
NPI | 1033377221 |
---|---|
Provider Name | Euriko Torrazza Perez |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Albuquerque, NM 87106-4713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2008 |
Last Update Date | 22/03/2017 |