Doctor Name: | ROBERTO SANTOS MEDINA |
NPI Number: | 1457690588 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT26238 |
Business Practice Address: | 3033 Sarno Rd Melbourne, FL - 329347229 |
Business Phone Number: | 3212426812 |
Business Fax Number: | |
Mailing Address: | 2880 N Wickham Rd Apt 614, MELBOURNE |
State: | FL |
Postal Code: | 329352354 |
Phone Number: | 3218904223 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2013 |
NPI Last Update Date: | 02/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26238 |
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 |