Provider Demographics
NPI:1487318937
Name:PULIDO, RAYMOND MACARANAS JR (PT)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:MACARANAS
Last Name:PULIDO
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8469 KARPEAL DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5725
Mailing Address - Country:US
Mailing Address - Phone:727-504-8558
Mailing Address - Fax:
Practice Address - Street 1:8469 KARPEAL DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5725
Practice Address - Country:US
Practice Address - Phone:727-504-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist