Nova Nephrology PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

16395 Issued in PR

Legal business name

NOVA NEPHROLOGY PSC

Practice address

735 Ave Ponce de Leon Ste 615
Torre Medica Auxilio Mutuo
San Juan, PR 00917-5029

Phone

(787) 765-3300

Fax

(787) 765-3304

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Figueroa Gonzalez, M.D.NPI 1710906532

Title

Owner

Phone

(787) 765-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 4

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

• Manuel A. Figueroa-Gonzalez, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1710906532
  Medicare reassignment NPD Authorized official
• Adair Laboy Zengotita, M.D.

  • Nephrology Physician
  • Santurce, PR
  • NPI 1952335481
  NPD (past)
• Jose L. Nieves-Rivera, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1033138607
  NPD (past)
• Rodolfo Troche, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1639195597
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1194145235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 TORRE MEDICA AUXILIO MUTUO PONCE DE LEON",
            "address_2": "SUITE 615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 615",
            "address_2": "TORRE MEDICA AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEPHROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-765-3300",
        "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": "16395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Coast Rehab LLC
• North East Cardiology Group LLC
• North Primary Care Medical Group, Corp
• Nova Gi LLC
• Nova Hospice LLC
• Nova-Ortho CRL
• Novamente
• Novel Biomedical Devices Corporation
• Luis Rafael Novoa Garcia, MD
• Miguel A Noy, DOCTOR OF MEDICINE

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.