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NPI Code Detail

MEDICARE: ESTEFANY ALTAGRACIA RODRIGUEZ TORRES RD

MEDICARE: ESTEFANY ALTAGRACIA RODRIGUEZ TORRES RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDI200001690DC

General Provider Information

NPI Number : 1043179856
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEFANY ALTAGRACIA RODRIGUEZ TORRES RD
Provider Business Mailing Address
First Line : 2451 MIDTOWN AVE APT 923
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1432
Country : US
Telephone Number : 347-657-4279
Fax Number :
Provider Business Practice Location Address
First Line : 2451 MIDTOWN AVE APT 923
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1432
Country : US
Telephone Number : 347-657-4279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ ESTEFANY ALTAGRACIA RODRIGUEZ TORRES RD” Practice Location

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