Provider Demographics
NPI:1942030697
Name:FIGUEROA TORRES, TATIANA (RDN, LDN)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:FIGUEROA TORRES
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2991 WORTHING DR APT 200
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-7254
Mailing Address - Country:US
Mailing Address - Phone:787-235-0612
Mailing Address - Fax:
Practice Address - Street 1:2991 WORTHING DR APT 200
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-7254
Practice Address - Country:US
Practice Address - Phone:787-235-0612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11931133N00000X
PR2224133N00000X
PR86115796133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist