Provider Demographics
NPI:1770513756
Name:HEALTH CARE REHAB. GROUP
Entity type:Organization
Organization Name:HEALTH CARE REHAB. GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRO RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-276-0210
Mailing Address - Street 1:PO BOX 8700
Mailing Address - Street 2:PMB 504
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-8700
Mailing Address - Country:US
Mailing Address - Phone:787-276-0210
Mailing Address - Fax:
Practice Address - Street 1:CARR 848 KM 3.0 SAN ANTON
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-276-0210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0022233Medicare PIN
PR0022233HMedicare PIN
PR0022233JMedicare PIN