Mednur Corp

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

LIC NUM 1 CNC 00-193 Issued in PR

Legal business name

MEDNUR CORP

Practice address

Calle Colon # 106
Aguada, PR 00602-3166

Phone

(787) 252-8330

Fax

(787) 252-8337

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Sanchez, MRS

Title

Facturacion

Phone

(787) 882-2940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1306831946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4789",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054789",
            "telephone_number": "787-882-2940",
            "fax_number": "787-891-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON # 106",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023166",
            "telephone_number": "787-252-8330",
            "fax_number": "787-252-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNUR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "FACTURACION",
        "authorized_official_telephone_number": "787-882-2940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MRS"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC NUM 1 CNC 00-193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medica Movil de Puerto Rico Inc.
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• Medichem Clinic LLC
• Claribel Medina Montano
• Medina Vazquez Psychologist LLC
• Melanie Acevedo Valle LLC
• Alondra Del Koral Mendez Gonzalez, PSYD
• Kerisha Marly Mendez Gonzalez, MD, PA
• Edgar Mendez Negron, M.D.
• Carmen Ivette Mendez, LIC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aguada, PR
• Providers in Aguada, PR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.