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NPI Code Detail

MEDICARE: JOSE LUIS TORRES JR. MS, RD

MEDICARE: JOSE LUIS TORRES JR. MS, 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 Dietitian14245284-4901UT

General Provider Information

NPI Number : 1801750559
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE LUIS TORRES JR. MS, RD
Provider Business Mailing Address
First Line : 660 S 200 E STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3846
Country : US
Telephone Number : 801-359-2256
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3846
Country : US
Telephone Number : 801-941-3739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 01/14/2026

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