Ald Nephrology PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17173 Issued in PR

Legal business name

ALD NEPHROLOGY PSC

Practice address

611 Calle Pavia
Ofic 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. Antonio Diaz Hernandez, MD

Title

President

Phone

(787) 726-7008

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1467725754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DEL BLVD",
            "address_2": "143",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269570",
            "telephone_number": "787-726-7008",
            "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": "OFIC 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-7008",
            "fax_number": "787-726-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALD NEPHROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ HERNANDEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": "17173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "17173",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domnina Alcantara, M. D.
• Vicente Alcaraz, MD
• Nicole Alcazar
• Rodolfo Elias Alcedo, M.D.
• Maidalidys Alcocer, MD
• Geraldine Aldamuy, M.D
• Aledent C.S.P.
• Manuel Alegre-Hernandez, MD
• Thelma Alejandro Perez, TO
• Larry Misael Alejandro Vargas

• 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.