Organization Active NPI

Extednd Care Pulmonary Rehab

  • Durable Medical Equipment & Medical Supplies
  • San Sebastian, PR
National Provider Identifier
1780765974
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXTEDND CARE PULMONARY REHAB
Doing business as
PROMED
Practice address
Calle Emilio Ruiz #21
San Sebastian, PR 00685
Phone
(787) 896-1510
Fax
(787) 896-1605
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Richard Thomas Escobar
Title
Ceo
Phone
(352) 898-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

Calle Emilio Ruiz #21
San Sebastian, PR 00685

Mailing address

Calle Emilio Ruiz #21
San Sebastian, PR 00685
Phone (787) 896-1510

Other names 1

  • PROMED Doing business as

National Provider Directory

National Provider Directory

Locations

21 Calle Emilio Ruiz
San Sebastian, PR 00685
Phone (787) 280-0088

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780765974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE EMILIO RUIZ #21",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1510",
            "fax_number": "787-896-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE EMILIO RUIZ #21",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1510",
            "fax_number": "787-896-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTEDND CARE PULMONARY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "13528981543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.