Doctor Name: | LUIS FERNANDO ROA |
NPI Number: | 1174678775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT22682 |
Business Practice Address: | 11300 Nw 87th Ct Suite 157 Hialeah Gardens, FL - 330184586 |
Business Phone Number: | 7867623915 |
Business Fax Number: | 7867623916 |
Mailing Address: | 11300 Nw 87th Ct, Suite 157 HIALEAH GARDENS |
State: | FL |
Postal Code: | 330184586 |
Phone Number: | 7867623915 |
Fax Number: | 7867623916 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |