Organization Active NPI

Renal Ipa of PR LLC

  • Nephrology Physician
  • Mayaguez, PR
National Provider Identifier
1205204823
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL IPA OF PR LLC
Practice address
27 Calle Dr Nelson Perea Ste 104
Mayaguez, PR 00680-4950
Phone
(787) 215-6056
NPI assigned
Sep 14, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Orlando Palmer
Title
Manager
Phone
(787) 215-6056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

27 Calle Dr Nelson Perea Ste 104
Mayaguez, PR 00680-4950

Mailing address

27 Calle Dr Nelson Perea Ste 104
Mayaguez, PR 00680-4950
Phone (787) 215-6056

National Provider Directory

National Provider Directory

Locations

27 Calle Dr Nelson Perea
Ste 104
Mayaguez, PR 00680
Phone (787) 335-0120

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1205204823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PEREA STE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804950",
            "telephone_number": "787-215-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PEREA STE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804950",
            "telephone_number": "787-215-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL IPA OF PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-215-6056"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.