Healthcare Provider Details
I. General information
NPI: 1831440106
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN JUAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2012
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CENTRO MEDICO HOSPITAL UNIVERSITARIO PISO 3
SAN JUAN PR
00921
US
IV. Provider business mailing address
PMB #340 P.O. BOX 70344
SAN JUAN PR
00936-8344
US
V. Phone/Fax
- Phone: 787-274-5100
- Fax: 787-274-5115
- Phone: 205-967-7116
- Fax: 205-969-6650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAREY
BENNETT
MCRAE
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-970-3442