Provider Demographics
NPI:1932075520
Name:TORRES, EMILY IRIS (RDN)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:IRIS
Last Name:TORRES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:I
Other - Last Name:TORRES-MEDAGLIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN
Mailing Address - Street 1:300 SW 1ST AVE STE 155
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1847
Mailing Address - Country:US
Mailing Address - Phone:305-989-4160
Mailing Address - Fax:
Practice Address - Street 1:300 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1884
Practice Address - Country:US
Practice Address - Phone:305-989-4160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86466222133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered