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LAGUNA MADRE REHABILITATION CENTER NPI 1841399623


NPI Information

NPI: 1841399623
Provider Name: LAGUNA MADRE REHABILITATION CENTER
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1200 STATE HIGHWAY 100
STE 9
PORT ISABEL, TX
ZIP 78578
Phone: (956) 943-2248
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LAGUNA MADRE REHABILITATION CENTER is a rehabilitation clinic center in Port Isabel, TX. LAGUNA MADRE REHABILITATION CENTER NPI is 1841399623. The provider is registered as an organization entity type.

The provider's business location address is:

1200 STATE HIGHWAY 100
STE 9
PORT ISABEL, TX
ZIP 78578-708
Phone: (956) 943-2248
Fax: (956) 943-4459

The provider's authorized official is Andy Lee Plattner .
The authorized official title is Administrator/owner and has the following contact phone number (956) 943-2248.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
167-6611MEDICARE PINTEXAS
2178171801MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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