Provider Demographics
NPI:1750629812
Name:ADRIANO, MARIA CECILIA MIRANDA (RPT)
Entity Type:Individual
Prefix:MISS
First Name:MARIA CECILIA
Middle Name:MIRANDA
Last Name:ADRIANO
Suffix:
Gender:F
Credentials:RPT
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Mailing Address - Street 1:P O BOX 500409
Mailing Address - Street 2:1 LOWER NAVY HILL
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0409
Mailing Address - Country:US
Mailing Address - Phone:670-234-8950
Mailing Address - Fax:670-236-8756
Practice Address - Street 1:1 LOWER NAVY HILL
Practice Address - Street 2:500409 CHALAN KANOA
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-0409
Practice Address - Country:US
Practice Address - Phone:670-234-8950
Practice Address - Fax:670-236-8756
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MP0030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist