Provider Demographics
NPI:1114151883
Name:NARANJO, ROBERT (OTR)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:NARANJO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 N CYNTHIA LN
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9467
Mailing Address - Country:US
Mailing Address - Phone:956-494-8417
Mailing Address - Fax:956-702-4477
Practice Address - Street 1:3316 N CYNTHIA LN
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9467
Practice Address - Country:US
Practice Address - Phone:956-494-8417
Practice Address - Fax:956-702-4477
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106901225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist