Provider Demographics
NPI:1023411741
Name:TORREZ, ANITA (RT (R)(ARRT))
Entity type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:
Last Name:TORREZ
Suffix:
Gender:F
Credentials:RT (R)(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 REDONDO CT
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-9044
Mailing Address - Country:US
Mailing Address - Phone:505-463-6768
Mailing Address - Fax:505-565-2272
Practice Address - Street 1:311 LOS LENTES RD SE
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-9224
Practice Address - Country:US
Practice Address - Phone:505-463-6768
Practice Address - Fax:505-565-2272
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5268292471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography