Provider Demographics
NPI:1750532727
Name:RISAS Y RAYONES REHAB SERVICES
Entity type:Organization
Organization Name:RISAS Y RAYONES REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONZO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-783-7111
Mailing Address - Street 1:6422 S. CAGE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6957
Mailing Address - Country:US
Mailing Address - Phone:956-783-7111
Mailing Address - Fax:956-783-7109
Practice Address - Street 1:6422 S. CAGE BLVD
Practice Address - Street 2:STE A
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6957
Practice Address - Country:US
Practice Address - Phone:956-783-7111
Practice Address - Fax:956-783-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX557690000261QR0400X, 261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX287630201Medicaid
TX287630201Medicaid