Healthcare Provider Details

I. General information

NPI: 1700410461
Provider Name (Legal Business Name): ANGELA MARIA TORRES RAMIREZ RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NASSAU ST
CHARLESTON SC
29403-5513
US

IV. Provider business mailing address

3590 MARY ADER AVE APT 918
CHARLESTON SC
29414-5791
US

V. Phone/Fax

Practice location:
  • Phone: 843-722-4112
  • Fax:
Mailing address:
  • Phone: 954-604-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2024
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86063552
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: