NPIMap

Organization Active NPI

Lesser Antilles Nephrology

  • Medical Specialty Clinic/Center
  • Christiansted, VI
National Provider Identifier
1538475017
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1620 Issued in VI
Legal business name
LESSER ANTILLES NEPHROLOGY
Practice address
184 Ruby Plaza
Christiansted, VI 00820-0000
Phone
(340) 642-4550
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Raphael G Loutoby, MD
Title
Ceo
Phone
(340) 642-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1620 VI Primary

Addresses

Primary practice location

184 Ruby Plaza
Christiansted, VI 00820-0000

Mailing address

6002 Estate Ruby Diamond Suite 3
PMB 163
Christiansted, VI 00820-0000
Phone (340) 642-4550

National Provider Directory

National Provider Directory

Locations

6002 Estate Diamond
Ste 3
Christiansted, VI 00820

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1538475017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 ESTATE RUBY DIAMOND SUITE 3",
            "address_2": "PMB 163",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008200000",
            "telephone_number": "340-642-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 RUBY PLAZA",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008200000",
            "telephone_number": "340-642-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESSER ANTILLES NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LOUTOBY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "340-642-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VI",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.