Provider Demographics
NPI:1578575148
Name:ROGERIO, ANDREA CLAUDIA (OTR/L, MOT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:CLAUDIA
Last Name:ROGERIO
Suffix:
Gender:F
Credentials:OTR/L, MOT
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:CLAUDIA
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:3210 JAIME ZAPATA MEMORIAL HWY
Mailing Address - Street 2:A-4
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-5009
Mailing Address - Country:US
Mailing Address - Phone:956-796-0215
Mailing Address - Fax:956-728-7771
Practice Address - Street 1:3210 JAIME ZAPATA MEMORIAL HWY
Practice Address - Street 2:A-4
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-5009
Practice Address - Country:US
Practice Address - Phone:956-796-0215
Practice Address - Fax:956-728-7771
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111924225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6584OtherBCBS NUMBER