Provider Demographics
NPI:1174504799
Name:REMIGIO-RODRIGUEZ, MARCO AURELIO (OTR)
Entity Type:Individual
Prefix:MR
First Name:MARCO
Middle Name:AURELIO
Last Name:REMIGIO-RODRIGUEZ
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:MR
Other - First Name:MARCO
Other - Middle Name:AURELIO
Other - Last Name:REMIGIO-RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:COND RIVER PARK
Mailing Address - Street 2:EDIF D APT #206
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-8500
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:787-641-5716
Practice Address - Street 1:COND RIVER PARK PARK
Practice Address - Street 2:EDIF. D APART. #206
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-8500
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-5716
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR737225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist