Healthcare Provider Details

I. General information

NPI: 1831141274
Provider Name (Legal Business Name): REITTER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 AVE WINSTON CHURCHILL MSC 250
SAN JUAN PR
00926-6013
US

IV. Provider business mailing address

138 AVE WINSTON CHURCHILL MSC 250
SAN JUAN PR
00926-6013
US

V. Phone/Fax

Practice location:
  • Phone: 787-283-0299
  • Fax: 787-748-2065
Mailing address:
  • Phone:
  • Fax: 787-748-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberCNC90-119
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberCNC96-062
License Number StatePR

VIII. Authorized Official

Name: MR. HENRY RUBERTE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MHSA
Phone: 787-283-0299