Provider Demographics
NPI:1326237744
Name:CERENO, AURORA YANGA (PT)
Entity Type:Individual
Prefix:MRS
First Name:AURORA
Middle Name:YANGA
Last Name:CERENO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:AURORA
Other - Middle Name:TORRES
Other - Last Name:YANGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3290 NORTH RIDGE RD.
Mailing Address - Street 2:SUITE 290 EXECUTIVE CENTER II
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:410-750-9006
Mailing Address - Fax:410-750-0787
Practice Address - Street 1:3201 W. COMMERCIAL BLVD.,
Practice Address - Street 2:STE #116
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3440
Practice Address - Country:US
Practice Address - Phone:800-886-8108
Practice Address - Fax:800-370-0755
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist