Active NPI
Puerto Rico Renal Health & Research
- Health Service Clinic/Center
- Ponce, PR
National Provider Identifier
1083977920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1041C0700X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Puerto Rico Emergency Medicine Ultrasound Services
- Puerto Rico Health Care Group
- Puerto Rico Inflammatory and Surgical Eye Care LLC
- Puerto Rico Medical Emergency Group P.S.C.
- Puerto Rico Oncology Group
- Alberto Luis Pueyo, MD
- Hector Puig-Ramirez, MD
- Hector Puig
- Gabriel David Pujol Cuevas, MD
- Pulmo Lab
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.