Healthcare Provider Details

I. General information

NPI: 1811242837
Provider Name (Legal Business Name): MR. ROMEO INFANTE PINOY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

1580 SAWGRASS CORPORATE PKWY STE 100
SUNRISE FL
33323-2860
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-7878
  • Fax: 505-253-1517
Mailing address:
  • Phone: 954-332-4445
  • Fax: 866-422-6431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: