Provider Demographics
NPI:1275818312
Name:TORRES, MARGARITA (MS, RD, LD/N)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MS, RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12478
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32604-0478
Mailing Address - Country:US
Mailing Address - Phone:352-454-6506
Mailing Address - Fax:
Practice Address - Street 1:507 NW 60TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6027
Practice Address - Country:US
Practice Address - Phone:352-454-6506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5494133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered