Puerto Rico Vascular Access Center PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PUERTO RICO VASCULAR ACCESS CENTER PSC

Practice address

Ave Ponce de Leon Pda 37 1/2
Hosp Auxilio Mutuo 1St FL
San Juan, PR 00918-1227

Phone

(787) 758-3320

Fax

(787) 758-3358

NPI assigned

May 21, 2015

Last updated

Oct 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos G Rivera, M.D.

Title

President

Phone

(787) 361-0012

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 6

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.

• Martin Gorrochategui - Rodriguez, M.D.

  • Specialist
  • Hato Rey, PR
  • NPI 1134226574

  Nephrology

  Medicare reassignment Care Compare group NPD
• Antonio Jimenez Chinea, MD

  • Nephrology Physician
  • Guaynabo, PR
  • NPI 1093034084
  Medicare reassignment Care Compare group NPD
• Carlos Gilberto Rivera Bermudez, M.D.

  • Nephrology Physician
  • San Juan, PR
  • NPI 1700849817
  Medicare reassignment Care Compare group NPD
• Francisco J Torre, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1063577385
  Medicare reassignment Care Compare group NPD
• Jesus Daniel Vega Colon, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1275057382
  Medicare reassignment Care Compare group NPD
• Cesar F Hernandez-Arroyo, M.D.

  • Nephrology Physician
  • San Juan, PR
  • NPI 1528473733
  Medicare reassignment NPD

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1649659756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361275",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361275",
            "telephone_number": "787-758-3320",
            "fax_number": "787-758-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON PDA 37 1/2",
            "address_2": "HOSP AUXILIO MUTUO 1ST FL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181227",
            "telephone_number": "787-758-3320",
            "fax_number": "787-758-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO VASCULAR ACCESS CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-361-0012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puerto Rico Pathology Associates P
• Puerto Rico Pediatric Surgery Group PSC
• Puerto Rico Perfusion Inc.
• Puerto Rico Skin & Laser LLC
• Puerto Rico Therapy Group, Inc
• Gisela D Puig Carrion, M.D.
• Vanessa Puig Mattei
• Lyann Marie Puig Quinones, DMD
• Claudia E Puig-Roman
• Gilberto Puig, MD

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.