Provider Demographics
NPI:1184862831
Name:DIONISIO, SONNY SARTE (RPT)
Entity Type:Individual
Prefix:MR
First Name:SONNY
Middle Name:SARTE
Last Name:DIONISIO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 W SAMPLE RD
Mailing Address - Street 2:UNIT 101
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3261
Mailing Address - Country:US
Mailing Address - Phone:195-475-2618
Mailing Address - Fax:
Practice Address - Street 1:2050 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753-6109
Practice Address - Country:US
Practice Address - Phone:732-774-7679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist