RONALDO SAN JUAN CORACHEA (NPI# 1669793980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669793980 |
Entity Type | Individual |
Full Name | RONALDO SAN JUAN CORACHEA |
Practice Address |
7608 69th Pl Apt 2b Glendale NY 11385-7138 |
Practice Telephone | 3478866661 |
Mailing Telephone | 3478866661 |
Enumeration Date | 2010-06-22 |
Last Update Date | 2010-06-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
018679-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
018679-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7608 69TH PL APT 2B |
City | GLENDALE |
State | NY |
Zip Code | 11385-7138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
Find all providers in zip 11385 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
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1528684073 | Martin Alvarado | Physical Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-06-21 |
1225699176 | Ashley Hicks Staffa | Physical Therapist | 18001 N 79th Ave Ste A3, Glendale, AZ 85308-8389 | 2019-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003425968 | Onward Physical Therapy, Pllc | Physical Therapist | 625 West Dryden Rd, Freeville, NY 13068-9746 | 2020-07-27 |
1487270765 | Narda Silipo | Physical Therapist | 40 Merrick Ave, East Meadow, NY 11554-1581 | 2020-06-22 |
1851931380 | Shirley John | Physical Therapist | 51 Highway Ave, Congers, NY 10920-2519 | 2020-01-13 |
1467096453 | Kathleen Freund | Physical Therapist | 1963 Lincoln Ct, Westbury, NY 11590-5924 | 2019-11-01 |
1487204038 | Monique Susanne Berg-spindelman | Physical Therapist | 4 Cedarwood Cir, Pittsford, NY 14534-3246 | 2019-09-16 |
1215586839 | Bishoy Maximous | Physical Therapist | 47 Brook Ave, Staten Island, NY 10306-4434 | 2019-09-06 |
1558915488 | David Michael Avery | Physical Therapist | 107 Laverack Ave, Lancaster, NY 14086-1844 | 2019-07-29 |
1659855534 | Eileen Galang | Physical Therapist | 347 Richard Ct, Pomona, NY 10970-2310 | 2018-09-18 |
1467935494 | Megan Passarelle | Physical Therapist | 29 Debragga Ave, East Moriches, NY 11940-1416 | 2018-09-14 |
1891275012 | Betty Ann M Dubacher | Physical Therapist | 43 Red Pond Rd, Petersburg, NY 12138-5916 | 2018-08-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.