Individual provider Active NPI

Loretta M Torres, PA

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1861480782
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2000PA13 Issued in NM
Practice address
9 Calle Medico
Santa Fe, NM 87505-4724
Phone
(505) 467-8372
Fax
(505) 780-8285
NPI assigned
Oct 13, 2005
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2000PA13 NM Primary

Addresses

Primary practice location

9 Calle Medico
Santa Fe, NM 87505-4724

Mailing address

9 Calle Medico
Santa Fe, NM 87505-4724
Phone (505) 467-8372

Other identifiers 1

IdentifierTypeStateIssuer
29726531MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001269 NM Practitioner - Physician Assistant 0345222816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Life NM IncGroup PAC ID 4082029749, 2 clinicians

Practice addresses (Care Compare)

9 Calle Medico
Santa Fe, NM 87505-4724
Phone (505) 467-8372

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2000PA13NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
S Sean Hamashige O D PastSince Feb 14, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: loretta.torres.1@23184.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1861480782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-467-8372",
            "fax_number": "505-780-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-467-8372",
            "fax_number": "505-780-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LORETTA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "2000PA13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29726531",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.