Active NPIOrganization

Southeast Renal Group Psc

Internal Medicine, Nephrology in Santa Isabel, Puerto Rico

NPI Number1821413527
Practice location
Santa Isabel Professional Bldg, Suite 205, Santa Isabel, PR 00757
Fax
—
Last updated
March 21, 2017

Southeast Renal Group Psc is a healthcare organization based in Santa Isabel, PR. Southeast Renal Group Psc practices in Santa Isabel, PR. The NPI Number for Southeast Renal Group Psc is 1821413527. The current practice location address for Southeast Renal Group Psc is Santa Isabel Professional Bldg, Suite 205, Santa Isabel, PR 00757 and can be reached out via phone at 787-971-7133.

Provider Profile Details

NPI Number
1821413527
Provider Name
Southeast Renal Group Psc
Provider Entity Type
Organization
Address
Santa Isabel Professional Bldg, Suite 205, Santa Isabel, PR 00757
Phone Number
787-971-7133
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Organization Subpart
No
Authorized Official
Mr. Luis A Ortiz Heredia · President · 787-971-7133
Provider Enumeration Date
March 4, 2014
Last Update Date
March 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
Santa Isabel Professional Bldg
Suite 205
Santa Isabel, PR 00757
Zip
00757
Phone Number
787-971-7133
Santa Isabel, PR 00757Get directions →

Provider Business Mailing Address Details

Address
Po Box 335432
Ponce, PR 00733-5432
City
Ponce
State
PR
Zip
00733-5432
Phone Number
787-971-7133

License Information

Taxonomy (1)
General Practice · 208D00000X
Taxonomy (2)
Internal Medicine · 207R00000X
Taxonomy (3)
Nutritionist · 133N00000X
Taxonomy (4)
Psychologist, Clinical · 103TC0700X
Taxonomy (5)
Internal Medicine, Nephrology · 207RN0300X · 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 Southeast Renal Group Psc?

The NPI number of Southeast Renal Group Psc is 1821413527. It was assigned on March 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Southeast Renal Group Psc?

Southeast Renal Group Psc is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X).

Where does Southeast Renal Group Psc practice?

The practice location is Santa Isabel Professional Bldg, Suite 205, Santa Isabel, PR 00757. The office can be reached at 787-971-7133 (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 1821413527 directly on the NPPES registry website.

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