Andres Jesus Colondres-Torres
Nurse Practitioner, Pediatrics in Tucson, AZ. Individual provider (NPI-1).
NPI number1104526136
StatusActive
Last updated in NPPESJul 2, 2023
Details
- NPI
- 1104526136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andres Jesus Colondres-Torres
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2023
- Certification date
- Jul 2, 2023
- Last updated
- Jul 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 293518 | AZ | Yes |
| 163WN0002X | Registered Nurse, Neonatal Intensive Care | RN212262 | AZ |
Practice location
5301 E Grant RdTucson, AZ 85712-2874
Phone 520-327-5461
Mailing address
440 E Arizona Poppy DrOro Valley, AZ 85755-1428
Phone 520-991-0395
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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