Renal Carepartners of Davie

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

RENAL CAREPARTNERS OF DAVIE

Practice address

4970 SW 52ND St
325
Davie, FL 33314-5531

Phone

(305) 512-0014

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Orestes Lugo

Title

VP, Cfo

Phone

(305) 512-0014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1861479040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 COMMERCE WAY",
            "address_2": "306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161565",
            "telephone_number": "305-512-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 SW 52ND ST",
            "address_2": "325",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333145531",
            "telephone_number": "305-512-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CAREPARTNERS OF DAVIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "305-512-0014"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Davie, FL
• Providers in Davie, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.