Active NPIOrganization

Pure Life Renal Of San Juan, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in San Juan, Puerto Rico

NPI Number1700559275
Practice location
Hospital Auxilio Mutuo, 37.5 Ave Ponce De Leon #725, San Juan, PR 00919-1227
Fax
—
Last updated
January 9, 2023

Pure Life Renal Of San Juan, LLC is a healthcare organization based in San Juan, PR. Pure Life Renal Of San Juan, LLC practices in San Juan, PR. The NPI Number for Pure Life Renal Of San Juan, LLC is 1700559275. The current practice location address for Pure Life Renal Of San Juan, LLC is Hospital Auxilio Mutuo, 37.5 Ave Ponce De Leon #725, San Juan, PR 00919-1227 and can be reached out via phone at 954-962-5733.

Provider Profile Details

NPI Number
1700559275
Provider Name
Pure Life Renal Of San Juan, LLC
Provider Entity Type
Organization
Address
Hospital Auxilio Mutuo, 37.5 Ave Ponce De Leon #725, San Juan, PR 00919-1227
Phone Number
954-962-5733
Organization Subpart
No
Authorized Official
Jeff Fernandez · Cfo · 965-962-5733
Provider Enumeration Date
July 29, 2021
Last Update Date
January 9, 2023
Certification Date
January 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Hospital Auxilio Mutuo
37.5 Ave Ponce De Leon #725
San Juan, PR 00919-1227
Zip
00919-1227
Phone Number
954-962-5733
San Juan, PR 00919Get directions →

Provider Business Mailing Address Details

Address
4000 Hollywood Blvd Ste 300N
Hollywood, FL 33021-1242
City
Hollywood
State
FL
Zip
33021-1242
Phone Number
954-962-5733

License Information

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 Pure Life Renal Of San Juan, LLC?

The NPI number of Pure Life Renal Of San Juan, LLC is 1700559275. It was assigned on July 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Pure Life Renal Of San Juan, LLC?

Pure Life Renal Of San Juan, LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).

Where does Pure Life Renal Of San Juan, LLC practice?

The practice location is Hospital Auxilio Mutuo, 37.5 Ave Ponce De Leon #725, San Juan, PR 00919-1227. The office can be reached at 954-962-5733 (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 1700559275 directly on the NPPES registry website.

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