NPIMap

Organization Active NPI

Nefrologos Asociados del Oeste

  • Nephrology Physician
  • Mayaguez, PR
National Provider Identifier
1861596496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEFROLOGOS ASOCIADOS DEL OESTE
Practice address
1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone
(787) 834-5934
Fax
(787) 833-6640
NPI assigned
Sep 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jorge L Weber, MD
Title
Medical Director
Phone
(787) 834-5334

Specialties & licenses 1

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

Addresses

Primary practice location

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042

Mailing address

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone (787) 834-5934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000844 PR Part B Supplier - Clinic/Group Practice 1951297951 Receives reassigned benefits from 9 practitioners
Practice locations: Mayaguez, PR; San Sebastian, PR; Moca, PR; San German, PR

National Provider Directory

National Provider Directory

Locations

1050 Ave Los Corazones
Ste 102
Mayaguez, PR 00680
Phone (787) 834-5334

Practitioners & affiliated clinicians

Practitioners 11

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861596496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5934",
            "fax_number": "787-833-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5934",
            "fax_number": "787-833-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFROLOGOS ASOCIADOS DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-834-5334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.