Active NPI
Extednd Care Pulmonary Rehab
- Durable Medical Equipment & Medical Supplies
- San Sebastian, PR
National Provider Identifier
1780765974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.