Provider Demographics
NPI:1295064426
Name:ALBURO, ROLANDO MERCED JR (RPT)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:MERCED
Last Name:ALBURO
Suffix:JR
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 SANIBEL LN
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-7202
Mailing Address - Country:US
Mailing Address - Phone:321-482-6103
Mailing Address - Fax:321-453-4961
Practice Address - Street 1:1388 SANIBEL LN
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-7202
Practice Address - Country:US
Practice Address - Phone:321-482-6103
Practice Address - Fax:321-453-4961
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist