Active NPIOrganization

MD Renal Group LLC

Exclusive Provider Organization in Aguadilla, Puerto Rico

NPI Number1043595291
Practice location
Avenue Severiano Cuevas 18, Hospital Buen Samaritano Ground Floor, Aguadilla, PR 00605-9026
Fax
—
Last updated
August 14, 2012

MD Renal Group LLC is a healthcare organization based in Aguadilla, PR. MD Renal Group LLC practices in Aguadilla, PR. The NPI Number for MD Renal Group LLC is 1043595291 and holds a License No. 17129 (PR). The current practice location address for MD Renal Group LLC is Avenue Severiano Cuevas 18, Hospital Buen Samaritano Ground Floor, Aguadilla, PR 00605-9026 and can be reached out via phone at 787-997-0101.

Provider Profile Details

NPI Number
1043595291
Provider Name
MD Renal Group LLC
Provider Entity Type
Organization
Address
Avenue Severiano Cuevas 18, Hospital Buen Samaritano Ground Floor, Aguadilla, PR 00605-9026
Phone Number
787-997-0101
Primary Taxonomy
Exclusive Provider Organization · 302F00000X
Organization Subpart
No
Authorized Official
Prof. Mayra I Santiago, MA · Administrative Chief Officer · 939-639-0557
Other Names
MD Renal Group LLC (Former Legal Business Name)
Provider Enumeration Date
October 19, 2011
Last Update Date
August 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
Avenue Severiano Cuevas 18
Hospital Buen Samaritano Ground Floor
Aguadilla, PR 00605-9026
Zip
00605-9026
Phone Number
787-997-0101
Aguadilla, PR 00605Get directions →

Provider Business Mailing Address Details

Address
Po Box 667
Moca, PR 00676-0667
City
Moca
State
PR
Zip
00676-0667
Phone Number
787-997-0101

License Information

License Number
17129
License State
PR
Taxonomy
Exclusive Provider Organization · 302F00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of MD Renal Group LLC?

The NPI number of MD Renal Group LLC is 1043595291. It was assigned on October 19, 2011 and is currently active in the NPPES registry.

What is the specialty of MD Renal Group LLC?

MD Renal Group LLC is registered under the primary taxonomy Exclusive Provider Organization (code 302F00000X), licensed in PR under license number 17129.

Where does MD Renal Group LLC practice?

The practice location is Avenue Severiano Cuevas 18, Hospital Buen Samaritano Ground Floor, Aguadilla, PR 00605-9026. The office can be reached at 787-997-0101 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043595291 directly on the NPPES registry website.

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