PA Medical Rehab Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PA MEDICAL REHAB CENTER LLC

Practice address

2900 Louisiana Blvd NE Ste H
Albuquerque, NM 87110-3565

Phone

(505) 582-1780

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Orelvis Lopez Castillo

Title

President

Phone

(505) 582-1780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1972038917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE SUITE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-582-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103565",
            "telephone_number": "505-582-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA MEDICAL REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ CASTILLO",
        "authorized_official_first_name": "ORELVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-582-1780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osman Ozel, M.D.
• Merve Ozturk, MD
• P & J Tras Inc
• Joseph P Castillo
• PA Health Care Inc
• Ashley McCall Pace, LISW
• Benjamin Pace
• Charles F Pace, MD
• Pacha Counseling Services LLC
• Rajaneesh Pachala, MD

• Health Service Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.