Organization Active NPI

Asociados En Nefrologia CSP

  • Nephrology Physician
  • Coto Laurel, PR
National Provider Identifier
1063621241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10497 Issued in PR
Legal business name
ASOCIADOS EN NEFROLOGIA CSP
Practice address
Torre San Cristobal
Suite 302
Coto Laurel, PR 00780
Phone
(787) 259-1934
Fax
(787) 840-7734
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jorge E. Grillasca, M.D.
Title
President
Phone
(787) 259-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 10497 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Suite 302
Coto Laurel, PR 00780

Mailing address

PO Box 800291
Coto Laurel, PR 00780-0291
Phone (787) 259-1934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063621241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800291",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800291",
            "telephone_number": "787-259-1934",
            "fax_number": "787-840-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 302",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-259-1934",
            "fax_number": "787-840-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCIADOS EN NEFROLOGIA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRILLASCA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-259-1934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "10497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.