Provider Demographics
NPI:1417357138
Name:CASUL NOGUERAS, ANGEL L (DPT, CMTPT-FFT)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:L
Last Name:CASUL NOGUERAS
Suffix:
Gender:M
Credentials:DPT, CMTPT-FFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8586 TRIUMPH CIR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-8842
Mailing Address - Country:US
Mailing Address - Phone:787-405-1152
Mailing Address - Fax:
Practice Address - Street 1:8586 TRIUMPH CIR
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-8842
Practice Address - Country:US
Practice Address - Phone:787-405-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1429225100000X
2251C2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251C2600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist