Provider Demographics
NPI:1417128562
Name:HOME PHYSICAL THERAPY / MARIA CASIANO, RPT
Entity Type:Organization
Organization Name:HOME PHYSICAL THERAPY / MARIA CASIANO, RPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASIANO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:787-455-7824
Mailing Address - Street 1:HC 03 BOX 14390
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-9644
Mailing Address - Country:US
Mailing Address - Phone:787-455-7824
Mailing Address - Fax:787-267-0234
Practice Address - Street 1:STREET 1 C 28 URB LA QUINTA
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-9644
Practice Address - Country:US
Practice Address - Phone:787-455-7824
Practice Address - Fax:787-267-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1109261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy