Provider Demographics
NPI:1013318567
Name:NAZARIO, ANA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:NAZARIO
Suffix:
Gender:F
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:H59 CALLE DOMINICA
Mailing Address - Street 2:ALTOS DE TORRIMAR
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8838
Mailing Address - Country:US
Mailing Address - Phone:787-605-7146
Mailing Address - Fax:
Practice Address - Street 1:H59 CALLE DOMINICA
Practice Address - Street 2:ALTOS DE TORRIMAR
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8838
Practice Address - Country:US
Practice Address - Phone:787-605-7146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR904225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist