Alfonso R De la Torre, M.D.

Individual provider Active NPI Ophthalmology Physician · Albuquerque, NM

NPI 1295717833 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1295717833
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
75191 (NM)
Practice address
6500 Jefferson St NE
Ste 100
Albuquerque, NM 87109-3486
Phone
(505) 875-0103
Fax
(505) 875-0388
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75191NMMDOphthalmology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 75191 NM Yes

Addresses

Primary practice location

6500 Jefferson St NE
Ste 100
Albuquerque, NM 87109-3486

Mailing address

6500 Jefferson St NE
Ste 100
Albuquerque, NM 87109-3486
Phone (505) 875-0103

Other identifiers

IdentifierTypeStateIssuer
79726MedicaidNM

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Ophthalmology Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.