Lavitta Dialysis Center, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LAVITTA DIALYSIS CENTER, INC

Doing business as

Lavitta Dialysis Center

Practice address

471 Ave Munoz Rivera
Ponce, PR 00733-0531

Phone

(939) 325-6493

NPI assigned

Sep 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Julissa Martinez

Title

President

Phone

(939) 325-6493

Specialties & licenses 1

Addresses

Other names 1

• LAVITTA DIALYSIS CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1023566312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CALLE LUIS A MORALES",
            "address_2": "ESTANCIAS DEL GOLF",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300531",
            "telephone_number": "939-325-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007330531",
            "telephone_number": "939-325-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVITTA DIALYSIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIA JULISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-325-6493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAVITTA DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.