Organization Active NPI

Nefrosur CSP

  • Nephrology Physician
  • Ponce, PR
National Provider Identifier
1154373546
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEFROSUR CSP
Practice address
2275 Ponce by Pass
Caribbean Medical Center Ste 202
Ponce, PR 00717-1380
Phone
(787) 840-1455
Fax
(787) 848-4657
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Angel B Rivera Santos, MDNPI 1801856026
Title
President
Phone
(787) 840-1455

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2275 Ponce by Pass
Caribbean Medical Center Ste 202
Ponce, PR 00717-1380

Mailing address

609 Ave Tito Castro
PMB 173 Ste 102
Ponce, PR 00716-0200
Phone (787) 840-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000618 PR Part B Supplier - Clinic/Group Practice 2062586316 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

623 Ave La Ceiba
Ste 103
Ponce, PR 00717
Phone (787) 813-2712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1154373546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "PMB 173 STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-840-1455",
            "fax_number": "787-848-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 PONCE BY PASS",
            "address_2": "CARIBBEAN MEDICAL CENTER STE 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171380",
            "telephone_number": "787-840-1455",
            "fax_number": "787-848-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFROSUR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA SANTOS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-840-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 11, 2008; 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.