Diamond Rehabilitation Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

DIAMOND REHABILITATION CENTER

Practice address

5721 E Yandell Dr
El Paso, TX 79925-3350

Phone

(915) 778-1796

Fax

(915) 778-8150

NPI assigned

May 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel De Avila

Title

Administrator

Phone

(915) 778-1796

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003865452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253350",
            "telephone_number": "915-778-1796",
            "fax_number": "915-778-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253350",
            "telephone_number": "915-778-1796",
            "fax_number": "915-778-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE AVILA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-778-1796"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0072JW",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Outpatient Imaging Partnership LTD
• Diagnostic Pro Imaging
• Dialysis Newco LLC (U.S. Renal Care West El Paso Dialysis)
• Diamond Home Care, LLC
• Diamond One Dental Services, PLLC (Dental Fun Zone)
• Shawn Diamond, M.D.
• Diana Reyes (Best Medical Supply)
• Cesar Augusto Dias, MD
• Abril Angela Diaz de Leon Jimenez
• Ilene Diaz de Leon

• Comprehensive Outpatient Rehabilitation Facility (CORF) in El Paso, TX
• Providers in El Paso, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.