Advance Rehabilitation Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

312985 Issued in PR

Legal business name

ADVANCE REHABILITATION CENTER INC

Practice address

Carretera 149 Sec Matruya
Barrio Rio Arriba
Manati, PR 00674

Phone

(787) 515-7430

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By 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

Mr. German R Bergollo Espino

Title

Presidente

Phone

(787) 515-7430

Specialties & licenses 1

Addresses

Other names 1

• ADVANCE REHABILITATION CENTER INC Former legal business name

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1295087773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA EVANGELINA # J9",
            "address_2": "NUMERO 36",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006746101",
            "telephone_number": "787-515-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 149 SEC MATRUYA",
            "address_2": "BARRIO RIO ARRIBA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-515-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BERGOLLO ESPINO",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-515-7430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PR",
            "license": "312985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE REHABILITATION CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Skilled Nursing Facility in Manati, PR
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• Skilled Nursing Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.