Provider Demographics
NPI:1629876867
Name:CUARTAS, FERNANDO GUARNIZO
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:GUARNIZO
Last Name:CUARTAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5383 69TH ST
Mailing Address - Street 2:APT 1R, MASPETH NY 11378
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378
Mailing Address - Country:US
Mailing Address - Phone:347-964-2901
Mailing Address - Fax:
Practice Address - Street 1:25-21 49TH ST, LONG ISLAND CITY
Practice Address - Street 2:NY 11103
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11103
Practice Address - Country:US
Practice Address - Phone:347-829-3890
Practice Address - Fax:347-829-3888
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP126825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist