Provider Demographics
NPI:1033578786
Name:PALOMERO, RUFUS RAPHAEL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RUFUS RAPHAEL
Middle Name:
Last Name:PALOMERO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 E MILE 3 RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8363
Mailing Address - Country:US
Mailing Address - Phone:956-369-2723
Mailing Address - Fax:
Practice Address - Street 1:6100 N 10TH ST
Practice Address - Street 2:STE G
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3239
Practice Address - Country:US
Practice Address - Phone:956-994-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist