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NPI Code Detail

MEDICARE: MR. CYRUS PEREZ ORIENDO RPT

MEDICARE: MR. CYRUS PEREZ ORIENDO RPT
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 TherapistQA01234500NJ

General Provider Information

NPI Number : 1487771929
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CYRUS PEREZ ORIENDO RPT
Provider Business Mailing Address
First Line : 9 CIVIC CENTER DR APT 3
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-3556
Country : US
Telephone Number : 732-254-2681
Fax Number :
Provider Business Practice Location Address
First Line : 115 DUTCH LANE RD
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-5500
Country : US
Telephone Number : 732-431-7285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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