NPIMap

Organization Active NPI

Mercy Rehab Services, Inc.

Doing business as Mercy Kids Rehab

  • Rehabilitation Clinic/Center
  • San Juan, TX
National Provider Identifier
1801931936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MERCY REHAB SERVICES, INC.
Doing business as
Mercy Kids Rehab
Practice address
1205 North Raul Longoria
Suite I
San Juan, TX 78589
Phone
(956) 782-5800
Fax
(956) 782-5802
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jaime Reyna, PT
Title
Administrator
Phone
(956) 782-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

1205 North Raul Longoria
Suite I
San Juan, TX 78589

Mailing address

1205 North Raul Longoria
Suite I
San Juan, TX 78589
Phone (956) 782-5800

Other names 1

  • Mercy Kids Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Kids Rehab7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1205 N Raul Longoria Rd
Ste I
San Juan, TX 78589
Phone (956) 782-5800

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801931936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 NORTH RAUL LONGORIA",
            "address_2": "SUITE I",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-782-5800",
            "fax_number": "956-978-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTH RAUL LONGORIA",
            "address_2": "SUITE I",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-782-5800",
            "fax_number": "956-782-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-782-5800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

  • 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.