Gaebriel Mijares Gaitano (NPI# 1720452204, PAC ID# 2163709429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1720452204 |
PAC ID by PECOS | 2163709429 |
Professional Enrollment ID | I20170516000348 |
Full Name | Gaebriel Mijares Gaitano |
Organization Legal Name | LAKESIDE PHYSICAL THERAPY, LLC |
Address |
404 E Front St Laurel DE 19956-1741 |
Phone Number | 3022806920 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 1658426093 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
404 E Front St, Laurel, DE 19956-1741 | 3022806920 | LAKESIDE PHYSICAL THERAPY, LLC |
6 Ellis Alley, Unit 6, Selbyville, DE 19975 | 3023397409 | COASTAL CARE PHYSICAL THERAPY INC |
Organization Legal Name | LAKESIDE PHYSICAL THERAPY, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
George M Rodriguera | Physical Therapy | Lakeside Physical Therapy, LLC | 404 E Front St, Laurel, DE 19956-1741 |
Lorie Anne Agbayani Acacio | Physical Therapy | Lakeside Physical Therapy, LLC | 404 E Front St, Laurel, DE 19956-1741 |
Street Address |
404 E FRONT ST |
City | LAUREL |
State | DE |
Zip | 19956-1741 |
Name | Specialty | Organization | Address |
---|---|---|---|
George M Rodriguera | Physical Therapy | Lakeside Physical Therapy, LLC | 404 E Front St, Laurel, DE 19956-1741 |
Lorie Anne Agbayani Acacio | Physical Therapy | Lakeside Physical Therapy, LLC | 404 E Front St, Laurel, DE 19956-1741 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea G Kahn | Ophthalmology | Accurate Optical Co of Laurel Inc | 116 Front St B, Laurel, DE 19956 |
Peter T Filipov | Ophthalmology | Azar/filipov Md Pa | 116 Front St, Suite A, Laurel, DE 19956 |
Karin Elizabeth Thomas | Ophthalmology | Azar/filipov Md Pa | 116 Front St, Suite A, Laurel, DE 19956 |
Nickey L Neagle | Optometry | Accurate Optical Co of Laurel Inc | 116 Front St B, Laurel, DE 19956 |
Odilon Y Claravall | Internal Medicine | Laurel Medical Group, LLC | 1124 S Central Ave, Laurel, DE 19956-1418 |
Antonio A Pedro | Nephrology | Laurel Medical Group, LLC | 1124 S Central Ave, Laurel, DE 19956-1418 |
Luis Miguel Barcena | Internal Medicine | Seaford Internal Medicine LLC | 1124 S Central Ave, Laurel, DE 19956-1418 |
Curtis A Smith | Family Medicine | 314 S Central Ave, Laurel, DE 19956-1525 | |
Emily F Heishman | Nurse Practitioner | Mid Sussex Medical Center Inc | 30549 Sussex Hwy, Laurel, DE 19956-3891 |
Lisa Hohl | Nurse Practitioner | Peninsula Regional Medical Center | 30668 Sussex Hwy, Laurel, DE 19956-4421 |
Find all physicians in zip 19956 |
City | LAUREL |
Zip Code | 19956 |
Specialty | PHYSICAL THERAPY |
City + Specialty | LAUREL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Gaebriel Mijares Gaitano.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.