Provider Demographics
NPI:1760408496
Name:LUGUE, RHONNIE CAYABAN (PT)
Entity Type:Individual
Prefix:MR
First Name:RHONNIE
Middle Name:CAYABAN
Last Name:LUGUE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6429
Mailing Address - Country:US
Mailing Address - Phone:908-418-1137
Mailing Address - Fax:
Practice Address - Street 1:2715 HICKORY RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6429
Practice Address - Country:US
Practice Address - Phone:908-418-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01156700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089090Medicare ID - Type UnspecifiedEMPIRE MEDICARE SERVICES