PA MEDICAL REHAB CENTER LLC (NPI# 1972038917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972038917 |
| Entity Type | Organization |
| Organization Name | PA MEDICAL REHAB CENTER LLC |
| Practice Address |
2900 Louisiana Blvd Ne Ste H Albuquerque NM 87110-3565 |
| Mailing Address |
2900 Louisiana Blvd Ne Suite H Albuquerque NM 87110 |
| Practice Telephone | 5055821780 |
| Mailing Telephone | 5055821780 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MR. ORELVIS LOPEZ CASTILLO (PRESIDENT) |
| Authorized Official Telephone | 5055821780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
2900 LOUISIANA BLVD NE STE H |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1760033153 | Avd Healthcare, LLC | Clinic/Center | 3107 Eubank Blvd Ne Ste 1, Albuquerque, NM 87111-4845 | 2019-09-26 |
| 1619451994 | Abqhealthcare2you | Clinic/Center | 8609 Hampton Ave Ne, Albuquerque, NM 87122-2638 | 2018-09-21 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1285958199 | Bentzco, LLC | Clinic/Center | 3777 The American Rd Nw, Albuquerque, NM 87114-1338 | 2010-03-22 |
| 1710520291 | Abq Primary Psychiatry, LLC | Clinic/Center | 4308 Carlisle Blvd Ne, Albuquerque, NM 87107-4856 | 2019-10-28 |
| 1386190916 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3101 Menaul Blvd Ne, Suite B, Albuquerque, NM 87107-1872 | 2016-09-01 |
| 1053765511 | Linda Romero Pa | Clinic/Center | 500 Marquette Ave Nw, Suite 1200, Albuquerque, NM 87102-5340 | 2016-04-20 |
| 1780067876 | Eastern Hills Health & Wellness LLC | Clinic/Center | 5800 Mcleod Rd Ne, Suite C, Albuquerque, NM 87109-2454 | 2015-07-07 |
| 1558792986 | Acc Health | Clinic/Center | 901 Lamberton Pl Ne Ste W, Albuquerque, NM 87107-1659 | 2013-12-11 |
| 1659709947 | Carmelita Hendrick | Clinic/Center | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2013-10-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on PA MEDICAL REHAB CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.