Individual
BRIAN A RAQUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9850 19TH ST, APT 186, ALTA LOMA, CA 91737-4232
(302) 345-2863
Mailing address
9850 19TH ST, APT 186, ALTA LOMA, CA 91737-4232
(302) 345-2863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39061
CA
225100000X
Physical Therapist
J1-0002540
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548562523
DELAWARE PHYSCIANS CARE
DE
05
—
1548562523
—
DE
Enumeration date
11/24/2010
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us