Organization Active NPI

Puerto Rico Renal Health & Research

  • Health Service Clinic/Center
  • Ponce, PR
National Provider Identifier
1083977920
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1041C0700X Issued in PR
Legal business name
PUERTO RICO RENAL HEALTH & RESEARCH
Practice address
609 Ave.Tito Castro
Suite 102 PBM 380
Ponce, PR 00716-0200
Phone
(787) 710-2532
Fax
(787) 843-5252
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Mrs. Rosario Ortiz, BSN
Title
Primary Nurse
Phone
(787) 710-2532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1041C0700X PR Primary

Addresses

Primary practice location

609 Ave.Tito Castro
Suite 102 PBM 380
Ponce, PR 00716-0200

Mailing address

Ave.Tito Castro 609
Suite 102 PBM 380
Ponce, PR 00716-2232
Phone (787) 710-2532

Other names 1

  • CKD -Ponce Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1083977920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE.TITO CASTRO 609",
            "address_2": "SUITE 102 PBM 380",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162232",
            "telephone_number": "787-710-2532",
            "fax_number": "787-843-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE.TITO CASTRO",
            "address_2": "SUITE 102 PBM 380",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-710-2532",
            "fax_number": "787-843-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO RENAL HEALTH & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PRIMARY NURSE",
        "authorized_official_telephone_number": "787-710-2532",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD -Ponce",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.