1831440106 NPI number — ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN JUAN, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831440106 NPI number — ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN JUAN, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN JUAN, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831440106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PMB #340 P.O. BOX 70344
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-8344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-967-7116
Provider Business Mailing Address Fax Number:
205-969-6650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO MEDICO
Provider Second Line Business Practice Location Address:
HOSPITAL UNIVERSITARIO PISO 3
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-274-5100
Provider Business Practice Location Address Fax Number:
787-274-5115
Provider Enumeration Date:
09/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MCRAE
Authorized Official First Name:
CAREY
Authorized Official Middle Name:
BENNETT
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
205-970-3442

Provider Taxonomy Codes

  • Taxonomy code: 283X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 037930500 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".




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