Provider Demographics
NPI:1093136046
Name:SINFUEGO, ROLAND PARANAL
Entity Type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:PARANAL
Last Name:SINFUEGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CROSS ST
Mailing Address - Street 2:APT 4
Mailing Address - City:BURLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66839-1105
Mailing Address - Country:US
Mailing Address - Phone:913-605-3511
Mailing Address - Fax:
Practice Address - Street 1:7310 RITCHIE HWY STE 810
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3067
Practice Address - Country:US
Practice Address - Phone:410-863-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1104384225100000X
MD25234225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist