Provider Demographics
NPI:1801431796
Name:MAY, MARISSA (MS, RDN)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 SALZEDO ST UNIT 606
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1450
Mailing Address - Country:US
Mailing Address - Phone:561-621-0079
Mailing Address - Fax:
Practice Address - Street 1:4251 SALZEDO ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1453
Practice Address - Country:US
Practice Address - Phone:561-621-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology