| Gulf Coast Rehabilitative Services, Inc | |
|
4639 Corona Dr Ste 15 Corpus Christi TX 78411-5438 | |
| (361) 882-1413 | |
| (361) 882-1417 |
| Full Name | Gulf Coast Rehabilitative Services, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4639 Corona Dr Ste 15, Corpus Christi, Texas |
| Authorized Official Name and Position | Santos Ramirez (PRESIDENT) |
| Authorized Official Contact | 3618821413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Rehabilitative Services, Inc 4639 Corona Dr Ste 15 Corpus Christi TX 78411-5438 Ph: (361) 882-1413 | Gulf Coast Rehabilitative Services, Inc 4639 Corona Dr Ste 15 Corpus Christi TX 78411-5438 Ph: (361) 882-1413 |
| NPI Number | 1811266281 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 9436597770 |
|---|---|
| Medicare Enrollment ID | O20240404002955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811266281 | NPI | - | NPPES |
| Provider Name | Santos Ramirez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235906355 PECOS PAC ID: 2961840202 Enrollment ID: I20240404003182 |
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