Organization Active NPI

Nefrologos Asociados de Santurce

  • Nephrology Physician
  • Santurce, PR
National Provider Identifier
1770516718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
6160 Issued in PR
Legal business name
NEFROLOGOS ASOCIADOS DE SANTURCE
Practice address
Pavia Medical Plaza 611 Suite 214
Calle Manuel Pavia
Santurce, PR 00909
Phone
(787) 726-7008
Fax
(787) 726-7083
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Quesada, M.D.
Title
Socio Administrativo
Phone
(787) 726-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 6160 PR Primary

Addresses

Primary practice location

Pavia Medical Plaza 611 Suite 214
Calle Manuel Pavia
Santurce, PR 00909

Mailing address

PO Box 19405
Ave Fernandez Juncos
San Juan, PR 00910-1405
Phone (787) 726-7008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770516718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19405",
            "address_2": "AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101405",
            "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": "PAVIA MEDICAL PLAZA 611 SUITE 214",
            "address_2": "CALLE MANUEL PAVIA",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-726-7008",
            "fax_number": "787-726-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFROLOGOS ASOCIADOS DE SANTURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "SOCIO ADMINISTRATIVO",
        "authorized_official_telephone_number": "787-726-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.