Provider Demographics
NPI:1548953268
Name:TORRES LUZARDO, GABRIEL ALEJANDRO (MS)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ALEJANDRO
Last Name:TORRES LUZARDO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:679 S REED CT APT 3-310
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4478
Mailing Address - Country:US
Mailing Address - Phone:787-237-1162
Mailing Address - Fax:
Practice Address - Street 1:1022 DEPOT HILL RD
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1068
Practice Address - Country:US
Practice Address - Phone:303-465-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth