Junriel Roa, PT | |
133 Route 3, Dededo, GU 96929-6911 | |
(671) 645-5500 | |
(671) 645-5549 |
Full Name | Junriel Roa |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 133 Route 3, Dededo, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609267947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-3932 (Hawaii) | Secondary |
225100000X | Physical Therapist | PT-128 (Guam) | Primary |
Provider Name | Waipahu Therapy Center Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326156969 PECOS PAC ID: 0547159006 Enrollment ID: O20040312000454 |
Mailing Address | Practice Location Address |
---|---|
Junriel Roa, PT Po Box 970277, Waipahu, HI 96797-0277 Ph: () - | Junriel Roa, PT 133 Route 3, Dededo, GU 96929-6911 Ph: (671) 645-5500 |
Geneva Lyn Sevilleno Lei, Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Dr. Richard Paul J. Pajela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-645-5619 | |
Ms. Ana Taitano Cruz, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-969-4843 | |
Jeno Aquino, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Ms. Marina Ng, Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Jinyoung Kim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-969-4840 |