Provider Demographics
NPI:1821692443
Name:TORRES, ENRIQUE JULIAN
Entity Type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:JULIAN
Last Name:TORRES
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 1:2071 S HANNIBAL WAY APT D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4023
Mailing Address - Country:US
Mailing Address - Phone:303-434-2254
Mailing Address - Fax:
Practice Address - Street 1:2071 S HANNIBAL WAY APT D
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-4023
Practice Address - Country:US
Practice Address - Phone:303-434-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator