Organization Active NPI

Advanced Renal Vascular Center P.S.C

  • Nephrology Physician
  • Mayaguez, PR
National Provider Identifier
1700165685
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
16554 Issued in PR
Legal business name
ADVANCED RENAL VASCULAR CENTER P.S.C
Practice address
357 Ave Hostos Ste 203
Office Park II
Mayaguez, PR 00680-1535
Phone
(787) 806-2200
Fax
(787) 806-2239
NPI assigned
Aug 10, 2011
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Dr. William O Hurtado-Santiago, MDNPI 1912022310
Title
President
Phone
(787) 677-7885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 16554 PR Primary

Addresses

Primary practice location

357 Ave Hostos Ste 203
Office Park II
Mayaguez, PR 00680-1535

Mailing address

357 Ave Hostos Ste 203
Mayaguez, PR 00680-1535
Phone (787) 806-2200

National Provider Directory

National Provider Directory

Locations

357 Ave Hostos
Ste 203
Mayaguez, PR 00680
Phone (787) 805-8362

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": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1700165685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 AVE HOSTOS STE 203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801535",
            "telephone_number": "787-806-2200",
            "fax_number": "787-806-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 AVE HOSTOS STE 203",
            "address_2": "OFFICE PARK II",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801535",
            "telephone_number": "787-806-2200",
            "fax_number": "787-806-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RENAL VASCULAR CENTER P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "HURTADO-SANTIAGO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-677-7885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "16554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.