RONALDO SAN JUAN CORACHEA
NPI 1669793980
Physical Therapist - Geriatrics in Glendale, NY

Q: What is Ronaldo Corachea's NPI number?

The NPI number for Ronaldo Corachea is 1669793980. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Q: What is Ronaldo Corachea's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Ronaldo Corachea was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2010

7608 69TH PL APT 2B, GLENDALE, NY 11385(347) 886-6661 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ronaldo San Juan Corachea NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALDO SAN JUAN CORACHEA (NPI 1669793980) is an individual geriatrics provider in Glendale, New York, licensed in New York (018679-1) and active in the NPI registry since June 2010. He is a graduate of Other (1995).

NPPES Registry Identity

NPI1669793980

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameRONALDO SAN JUAN CORACHEA

Location Address7608 69TH PL APT 2BGlendale, NY 11385-7138

Mailing Address7608 69th Pl Apt 2bGlendale, NY 11385-7138 · (347) 886-6661

Phone(347) 886-6661

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJune 22, 2010

✔ NPI 1669793980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in NY · 018679-1

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License 018679-1 (NY)

7608 69TH PL APT 2B, Glendale, NY 11385

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronaldo San Juan Corachea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648755926

PECOS Enrollment IDI20260403002078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronaldo Corachea's NPI number?

The NPI number for Ronaldo Corachea is 1669793980. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Ronaldo Corachea located?

Ronaldo Corachea practices at 7608 69th Pl Apt 2B, Glendale, NY 11385. The listed phone number is (347) 886-6661.

What is Ronaldo Corachea's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Ronaldo Corachea enrolled in Medicare?

Yes. Ronaldo Corachea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronaldo Corachea was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.