Doctor Name: | ERNESTO TENDERO |
NPI Number: | 1659645455 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | THERAPIST |
License Number: | MA45597 |
Business Practice Address: | 6405 Nw 36th St Ste 112 Virginia Gardens, FL - 331666977 |
Business Phone Number: | 3059621737 |
Business Fax Number: | 3058700772 |
Mailing Address: | 12291 Sw 207th Ter, MIAMI |
State: | FL |
Postal Code: | 331775665 |
Phone Number: | 3059621737 |
Fax Number: | 3058700772 |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA45597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |