MEDICARE: MARCO A SURIANO DPT

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
1	225100000X	Physical Therapist	1337133	TX

General Provider Information

NPI Number	:	1558974287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO A SURIANO DPT

Provider Business Mailing Address
First Line	:	4758 LOMA DEL SUR DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79934-3597
Country	:	US
Telephone Number	:	915-755-0738
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 N ZARAGOZA RD STE 210
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-7998
Country	:	US
Telephone Number	:	915-289-9133
Fax Number	:	915-680-2433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	01/30/2026

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Directions to “ MARCO A SURIANO DPT” Practice Location

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