Provider Demographics
NPI:1528454097
Name:RESPIRATORY REHAB CLINIC
Entity type:Organization
Organization Name:RESPIRATORY REHAB CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSRT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-202-5931
Mailing Address - Street 1:700 CALLE MAR MEDITERRANEO
Mailing Address - Street 2:PASEO LOS CORALES II
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4532
Mailing Address - Country:US
Mailing Address - Phone:787-600-3930
Mailing Address - Fax:
Practice Address - Street 1:700 CALLE MAR MEDITERRANEO
Practice Address - Street 2:PASEO LOS CORALES II
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4532
Practice Address - Country:US
Practice Address - Phone:787-600-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-12
Last Update Date:2015-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation