Provider Demographics
NPI:1417083981
Name:ANGUEIRA, SONIA (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:ANGUEIRA
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W 49TH ST
Mailing Address - Street 2:STE 216
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3402
Mailing Address - Country:US
Mailing Address - Phone:305-836-4345
Mailing Address - Fax:305-836-5904
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:STE 216
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-836-4345
Practice Address - Fax:305-836-5904
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT11494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE7864AOtherMEDICARE LEGACY
FLE7864AOtherMEDICARE LEGACY
FLE7864AMedicare PIN
FLE7864AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER