Provider Demographics
NPI:1982657722
Name:LUPIANO, ANDRES A (PT)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:A
Last Name:LUPIANO
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 1:17962 SW 29TH LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5500
Mailing Address - Country:US
Mailing Address - Phone:954-392-1410
Mailing Address - Fax:
Practice Address - Street 1:17962 SW 29TH LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5500
Practice Address - Country:US
Practice Address - Phone:954-392-1410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0615ZMedicare PIN