| Ian Cesar Jr Luardo, | |
|
4922 Lasalle Rd, Hyattsville, MD 20782-3302 | |
| (301) 864-2333 | |
| (877) 828-2060 |
| Full Name | Ian Cesar Jr Luardo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104366467 | NPI | - | NPPES |
| 4374045-00 | Medicaid | MD | |
| 1447657507 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 26387 (Maryland) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20160809003104 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Cesar Jr Luardo, 4922 Lasalle Rd, Hyattsville, MD 20782-3302 Ph: (240) 520-3345 | Ian Cesar Jr Luardo, 4922 Lasalle Rd, Hyattsville, MD 20782-3302 Ph: (301) 864-2333 |
Glynis Torio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Nicole Renee Garner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3311 Toledo Ter Ste A1, Hyattsville, MD 20782 Phone: 301-853-0093 | |
Malik Parker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3311 Toledo Ter Ste A1, Hyattsville, MD 20782 Phone: 301-853-0093 | |
Ranne Gilaine Buenaventura, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Samantha San Juan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Kavit Desai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Aska Dharod, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 Fax: 877-828-2060 |