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NPI Code Detail

MEDICARE: MIGUEL SILVA OURIQUE PT

MEDICARE: MIGUEL SILVA OURIQUE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist24115MA

General Provider Information

NPI Number : 1821631953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL SILVA OURIQUE PT
Provider Business Mailing Address
First Line : 921 E FALMOUTH HWY
Second Line :
City : EAST FALMOUTH
State : MA
Zip : 02536-6227
Country : US
Telephone Number : 508-274-1010
Fax Number :
Provider Business Practice Location Address
First Line : 721 E FALMOUTH HWY
Second Line :
City : EAST FALMOUTH
State : MA
Zip : 02536-6191
Country : US
Telephone Number : 508-540-7609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 10/22/2019

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Directions to “ MIGUEL SILVA OURIQUE PT” Practice Location

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