Organization Active NPI

Nephromed, LLC

  • Nephrology Physician
  • Ponce, PR
National Provider Identifier
1154126050
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROMED, LLC
Practice address
1362 Calle Don Quijote
Costa Caribe
Ponce, PR 00716
Phone
(787) 843-4588
Fax
(787) 840-0907
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Francis Miguel Vazquez Roura, MDNPI 1194807461
Title
Nephrologist
Phone
(787) 843-4588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1362 Calle Don Quijote
Costa Caribe
Ponce, PR 00716

Mailing address

P.O. Box 7301
Ponce, PR 00732-7301
Phone (787) 843-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617000338 PR Part B Supplier - Clinic/Group Practice 5698286631 Receives reassigned benefits from 1 practitioner
Practice locations: Juana Diaz, PR; Ponce, PR

National Provider Directory

National Provider Directory

Locations

610 Calle Damas
Ste 101
Ponce, PR 00717
Phone (787) 284-5093

Practitioners & affiliated clinicians

Practitioners 2

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1154126050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7301",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327301",
            "telephone_number": "787-843-4588",
            "fax_number": "787-840-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 CALLE DON QUIJOTE",
            "address_2": "COSTA CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-843-4588",
            "fax_number": "787-840-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ ROURA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "787-843-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.