# ISLAND REHAB CENTER CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336173897
- **Authorized official:** MR. JOSE NELSON CASILLAS (VICE PRESIDENT)
- **Authorized official phone:** (787) 798-0723

## Contact information

- **Practice address:** EXT. HNAS. DAVILA, J-13 ST. \#2, BAYAMON, PR 00959
- **Practice address phone:** (787) 798-0723
- **Practice address fax:** (787) 251-7034
- **Mailing address:** PO BOX 362652, SAN JUAN, PR 00936-2652
- **Mailing address phone:** (787) 798-0723
- **Mailing address fax:** (787) 251-7034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0011 | PR | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020