NPIMap

Organization Active NPI

Advance Transplant Nephrology

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1780029496
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13326 Issued in PR
Legal business name
ADVANCE TRANSPLANT NEPHROLOGY
Practice address
Calle 1 K1
Mansiones de Villa Nova
San Juan, PR 00926-0000
Phone
(787) 359-2516
Fax
(787) 701-0067
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. Ferdinand Rivera Ortiz, M.D.
Title
Presidente
Phone
(787) 359-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 13326 PR Primary

Addresses

Primary practice location

Calle 1 K1
Mansiones de Villa Nova
San Juan, PR 00926-0000

Mailing address

Calle 1 K1
Mansiones de Villa Nova
San Juan, PR 00926-0000
Phone (787) 359-2516

Other identifiers 1

IdentifierTypeStateIssuer
13326OtherPRPUERTO RICO MEDICAL LICENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1780029496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 K1",
            "address_2": "MANSIONES DE VILLA NOVA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-359-2516",
            "fax_number": "787-701-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 K1",
            "address_2": "MANSIONES DE VILLA NOVA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-359-2516",
            "fax_number": "787-701-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE TRANSPLANT NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA ORTIZ",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-359-2516",
        "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": "13326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL LICENCE",
            "identifier": "13326",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.