| Doctor Name: | MS. MELISSA BACA AVALOS TORRES |
| NPI Number: | 1245369800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. N. |
| License Number: | R57900 |
| Business Practice Address: | 900 Central Bayard, NM - 88023 |
| Business Phone Number: | 5055374000 |
| Business Fax Number: | 5055373921 |
| Mailing Address: | 405 Ohio St, SILVER CITY |
| State: | NM |
| Postal Code: | 88061 |
| Phone Number: | 5055374000 |
| Fax Number: | 5055373921 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | R57900 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |