Northwestern Renal Care PSC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

NORTHWESTERN RENAL CARE PSC

Practice address

Edificio Western Plaza, Oficina 10
Ave. Severiano Cuevas 18, Carr 460 KM 1.2 Int
Aguadilla, PR 00603

Phone

(939) 639-0557

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Elvin Soto Hernandez, MDNPI 1699030445

Title

President

Phone

(939) 639-0557

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elvin Soto Hernandez, M.D.

  • Nephrology Physician
  • Aguadilla, PR
  • NPI 1699030445
  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1427667906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 5400",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029534",
            "telephone_number": "939-639-0557",
            "fax_number": "787-877-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO WESTERN PLAZA, OFICINA 10",
            "address_2": "AVE. SEVERIANO CUEVAS 18, CARR 460 KM 1.2 INT",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-639-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN RENAL CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "SOTO HERNANDEZ",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-639-0557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Cardiovascular Care
• Northwest Health Solutions
• Northwest Pharmacy Group LLC. (Farmacia El Eden)
• Northwest Primary Healthcare Center, PSC
• Northwestern Medical Lab Inc
• Marcelo Oben Martinez, MD
• Odemaris Laboratory Inc (Laboratorio Clinico Aguadillano)
• Ohi of Puerto Rico, LLC (Pearle Vision 8743)
• Omar Soto Barreto
• Omar Soto Reyes (Soto's Medical Transport)

• Exclusive Provider Organization in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.