Provider Demographics
NPI:1760807465
Name:MONASTERIO, RAFAEL (DPT)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:MONASTERIO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4338
Mailing Address - Country:US
Mailing Address - Phone:786-641-6801
Mailing Address - Fax:
Practice Address - Street 1:6135 NW 167TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4338
Practice Address - Country:US
Practice Address - Phone:786-641-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist