NPIMap

Organization Active NPI

Laguna Madre Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Port Isabel, TX
National Provider Identifier
1841399623
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LAGUNA MADRE REHABILITATION CENTER
Practice address
1200 State Highway 100
Ste 9
Port Isabel, TX 78578-2708
Phone
(956) 943-2248
Fax
(956) 943-4459
NPI assigned
Sep 21, 2006
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Andy Lee Plattner
Title
Administrator/Owner
Phone
(956) 943-2248

Specialties & licenses 1

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

Addresses

Primary practice location

1200 State Highway 100
Ste 9
Port Isabel, TX 78578-2708

Mailing address

225 Mesquite Drive
Laguna Vista, TX 78578-2450
Phone (956) 943-2248

Other identifiers 1

IdentifierTypeStateIssuer
178171801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1841399623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MESQUITE DRIVE",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782450",
            "telephone_number": "956-943-2248",
            "fax_number": "956-943-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE HIGHWAY 100",
            "address_2": "STE 9",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782708",
            "telephone_number": "956-943-2248",
            "fax_number": "956-943-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA MADRE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "PLATTNER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "956-943-2248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178171801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.