Royal Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ROYAL REHAB LLC

Practice address

111 San Marcos St
San Juan, TX 78589-4729

Phone

(956) 463-7180

Fax

(956) 587-0245

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Edurado Maldonado

Title

Owner

Phone

(956) 463-7180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1770328858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAN MARCOS ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894729",
            "telephone_number": "956-463-7180",
            "fax_number": "956-587-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAN MARCOS ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894729",
            "telephone_number": "956-463-7180",
            "fax_number": "956-587-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "EDURADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-463-7180"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.