| Organization Name: | DIAMOND REHABILITATION CENTER |
| NPI Number: | 1003865452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL DE AVILA (ADMINISTRATOR) |
| Mailing Address: | 5721 E Yandell Dr El Paso |
| State: | TX US |
| Postal Code: | 799253350 |
| Phone Number: | 9157781796 |
| Fax Number: | 9157788150 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |