Instituto Renal de San Juan, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6160 Issued in PR

Legal business name

INSTITUTO RENAL DE SAN JUAN, LLC

Practice address

611 Calle Pavia
Oficina 214
San Juan, PR 00909-2239

Phone

(787) 726-7008

Fax

(787) 726-7083

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Luis Quesada, MD

Title

Presidente

Phone

(787) 726-7008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1235402520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101405",
            "telephone_number": "787-723-7008",
            "fax_number": "787-726-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA",
            "address_2": "OFICINA 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-7008",
            "fax_number": "787-726-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO RENAL DE SAN JUAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-726-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.