Organization Active NPI

Nefrology & Medical Services PSC

  • Medical Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1619236171
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
8838 Issued in PR
Legal business name
NEFROLOGY & MEDICAL SERVICES PSC
Practice address
66 Calle Santa Cruz
Suite 503 Instituto San Pablo
Bayamon, PR 00961-7041
Phone
(787) 740-1011
Fax
(787) 740-1008
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Edwin A Mora-Ruiz, M.D.NPI 1801929518
Title
President
Phone
(787) 740-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 8838 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz
Suite 503 Instituto San Pablo
Bayamon, PR 00961-7041

Mailing address

PO Box 9220
Bayamon, PR 00960-9220
Phone (787) 740-1011

National Provider Directory

National Provider Directory

Locations

66 Calle Santa Cruz
Ste 503
Bayamon, PR 00961
Phone (787) 740-1011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1619236171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9220",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609220",
            "telephone_number": "787-740-1011",
            "fax_number": "787-740-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "SUITE 503 INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-1011",
            "fax_number": "787-740-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFROLOGY & MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MORA-RUIZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-740-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

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