Provider Demographics
NPI:1396517306
Name:TORRES, SUEMAYA (RDN)
Entity type:Individual
Prefix:
First Name:SUEMAYA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 MIZZEN QUARTER LOOP
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-5681
Mailing Address - Country:US
Mailing Address - Phone:917-575-6605
Mailing Address - Fax:
Practice Address - Street 1:110 DARE RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-2882
Practice Address - Country:US
Practice Address - Phone:757-585-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered