Estanislao Oquendo Carbungco Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336

Phone

(727) 547-8600

Fax

(727) 548-6131

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1497300602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337800236",
            "telephone_number": "727-547-8600",
            "fax_number": "727-548-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE 14",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822336",
            "telephone_number": "727-547-8600",
            "fax_number": "727-548-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBUNGCO",
        "first_name": "ESTANISLAO",
        "middle_name": "OQUENDO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Canizares
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• Physical Therapist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.