Provider Demographics
NPI:1922308097
Name:RIGOR, JOSE UBALDO (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:UBALDO
Last Name:RIGOR
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WESTFIELD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1645
Mailing Address - Country:US
Mailing Address - Phone:908-820-0600
Mailing Address - Fax:908-820-0601
Practice Address - Street 1:520 WESTFIELD AVE STE 204
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1645
Practice Address - Country:US
Practice Address - Phone:908-820-0600
Practice Address - Fax:908-820-0601
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00610400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR2594108408652OtherNEW JERSEY STATE DRIVER'S LICENSE