Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariana Andrea-Daniel Fulgencio

Individual provider Physical Therapist · NPI 1245937499

Mariana Andrea-Daniel Fulgencio is a Physical Therapist in Private Practice in Saginaw, Michigan. Qualified in 2022, 4 years ago. Practices with Renue 006 Saginaw State St LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
4
Licensed in
NH
In the registry since
2023
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Practice location Address checks out

4616 State St
Saginaw, MI 48603
Phone: (989) 355-1010
Fax: (989) 355-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1915 Fordney St, Saginaw, MI 48601 — (989) 355-1010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5107 (NH)

Record details

NPI number1245937499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2023
Last updated in NPPESOctober 29, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Renue 006 Saginaw State St Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saginaw