Island Rehab Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0011 Issued in PR

Legal business name

ISLAND REHAB CENTER CORP

Practice address

Ext. Hnas. Davila
J-13 St. #2
Bayamon, PR 00959

Phone

(787) 798-0723

Fax

(787) 251-7034

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jose Nelson Casillas

Title

Vice President

Phone

(787) 798-0723

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nazareno Enterprises and Services LLC

  • Prosthetic/Orthotic Supplier
  • Bayamon, PR
  • NPI 1902808108

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336173897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362652",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362652",
            "telephone_number": "787-798-0723",
            "fax_number": "787-251-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT. HNAS. DAVILA",
            "address_2": "J-13 ST. #2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-0723",
            "fax_number": "787-251-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-798-0723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "0011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isla Motion Rehab LLC
• Island Health Center Corp
• Island Health Center Corp
• Island Medical Group
• Island Radiology Group PSC
• IV Home Infusion
• Carlos Antonio Izcoa, D.M.D.
• J.M. Optical LLC
• Julissa Nicole Jaca Castro, MD
• Ignacio Javier Jaca Montijo, M.D.

• Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinic/Center in Puerto Rico

• 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.