NPIMap

Organization Active NPI

Centro de Dialisis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Caguas, PR
National Provider Identifier
1366821290
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CENTRO DE DIALISIS
Practice address
Carretera 172 Caguas a Cidra
Salida 21
Caguas, PR 00725
Phone
(787) 535-1001
Fax
(787) 535-1114
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL MENONITA CAGUAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Marta R Marcado-Suro
Title
Coo
Phone
(787) 535-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

Carretera 172 Caguas a Cidra
Salida 21
Caguas, PR 00725

Mailing address

PO Box 372800
Cayey, PR 00737-2800
Phone (787) 535-1001

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medico Menonita Caguas11 organizations share this tax ID, including this one
Part of
Grupo Medico Menonita Caguas

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1366821290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372800",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372800",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 172 CAGUAS A CIDRA",
            "address_2": "SALIDA 21",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIALISIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL MENONITA CAGUAS INC",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MARCADO-SURO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "787-535-1001"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.