Provider Demographics
NPI:1295835502
Name:BAPTISTA, ROBERTSON
Entity Type:Individual
Prefix:MR
First Name:ROBERTSON
Middle Name:
Last Name:BAPTISTA
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 1:12800 SW 136TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8435
Mailing Address - Country:US
Mailing Address - Phone:786-942-1067
Mailing Address - Fax:786-693-8993
Practice Address - Street 1:12800 SW 136TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8435
Practice Address - Country:US
Practice Address - Phone:786-275-4322
Practice Address - Fax:786-536-4132
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 16965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist