Organization Active NPI

Fresenius Vascular Care del Caribe, Inc

  • Ambulatory Surgical Clinic/Center
  • Juana Diaz, PR
National Provider Identifier
1790163772
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FRESENIUS VASCULAR CARE DEL CARIBE, INC
Practice address
Carretera 584 KM 0.4
Parque Industrial Amuelas
Juana Diaz, PR 00795-2871
Phone
(787) 260-6670
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Gregg MillerNPI 1942273560
Title
SVP Operations
Phone
(717) 515-4048

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

Carretera 584 KM 0.4
Parque Industrial Amuelas
Juana Diaz, PR 00795-2871

Mailing address

PO Box 743634
Atlanta, GA 30374-3634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116000339 PR Part B Supplier - Ambulatory Surgical Center 9638489099 Practice locations: Juana Diaz, PR

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Fresenius Vascular Care del Caribe IncCCN 40C0001034
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

531 Carr 584
Ste 105
Juana Diaz, PR 00795

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1790163772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743634",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 584 KM 0.4",
            "address_2": "PARQUE INDUSTRIAL AMUELAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952871",
            "telephone_number": "787-260-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE DEL CARIBE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "717-515-4048"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.