| Organization Name: | JC REHAB CENTER, INC. |
| NPI Number: | 1174626527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE A VARGAS (PRESIDENT) |
| Mailing Address: | Loiza Valley Bahuinia St. Z-975 Canovanas |
| State: | PR US |
| Postal Code: | 00729 |
| Phone Number: | 7872561550 |
| Fax Number: | 7872561551 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |