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 Therapy |
Experience | 14 Years |
Location | 4922 Lasalle Rd, Hyattsville, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 744 |
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: Accepting Medicare Assignments 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 |