Organization Active NPI

VMV Nefrology & Transplant Group PSC

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1871048918
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17496 Issued in PR
Legal business name
VMV NEFROLOGY & TRANSPLANT GROUP PSC
Practice address
Ave Ponce de Leon
Pda 37 1/2
San Juan, PR 00915-3959
Phone
(787) 758-2500
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Veronica Meza Venencia, MDNPI 1720281967
Title
President
Phone
(787) 587-9983

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 17496 PR Primary

Addresses

Primary practice location

Ave Ponce de Leon
Pda 37 1/2
San Juan, PR 00915-3959

Mailing address

443 Paseo Dorado
Cuidad Jardin
Canovanas, PR 00729-9890

Other identifiers 1

IdentifierTypeStateIssuer
17496OtherPRMD LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230126001284 PR Part B Supplier - Clinic/Group Practice 4082085279 Receives reassigned benefits from 1 practitioner
Practice locations: Hato Rey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1871048918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 PASEO DORADO",
            "address_2": "CUIDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON",
            "address_2": "PDA 37 1/2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153959",
            "telephone_number": "787-758-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMV NEFROLOGY & TRANSPLANT GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MEZA VENENCIA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-587-9983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "17496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "17496",
            "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 Feb 13, 2023; 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.