Provider Demographics
NPI:1821474396
Name:SILAO, CZARINO PARAGAS (PT)
Entity Type:Individual
Prefix:MR
First Name:CZARINO
Middle Name:PARAGAS
Last Name:SILAO
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:PO BOX 3893
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88202-3893
Mailing Address - Country:US
Mailing Address - Phone:575-625-2525
Mailing Address - Fax:575-627-5934
Practice Address - Street 1:227 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-4722
Practice Address - Country:US
Practice Address - Phone:575-625-2525
Practice Address - Fax:575-627-5934
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2016-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922094770OtherNPPES
NM545471ZGJ1Medicare UPIN