Provider Demographics
NPI:1740462282
Name:ROHENA, NANETTE (PT)
Entity type:Individual
Prefix:MRS
First Name:NANETTE
Middle Name:
Last Name:ROHENA
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:CALLE PASEO REAL APT 508
Mailing Address - Street 2:COND VILLAS DEL GIGANTE #500
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-9519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 CALLE PASEO REAL
Practice Address - Street 2:COND VILLAS DEL GIGANTE APT 508
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-9518
Practice Address - Country:US
Practice Address - Phone:787-674-5960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist