Provider Demographics
NPI:1093285892
Name:VILLA-TORREZ, ADRIEL
Entity Type:Individual
Prefix:
First Name:ADRIEL
Middle Name:
Last Name:VILLA-TORREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 SHIRE ST SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-9527
Mailing Address - Country:US
Mailing Address - Phone:505-900-7424
Mailing Address - Fax:
Practice Address - Street 1:831 SHIRE ST SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-9527
Practice Address - Country:US
Practice Address - Phone:505-900-7424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker