Organization Active NPI

PR Renal Health and Research Inc

  • Adult Mental Health Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1912398157
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PR RENAL HEALTH AND RESEARCH INC
Practice address
600 Comerio Ave
2ND Floor
Toa Baja, PR 00949-2821
Phone
(787) 710-2532
Fax
(939) 202-7294
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Mr. Otegbola Ojo, M.D.
Title
President and Ceo
Phone
(787) 710-2532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

600 Comerio Ave
2ND Floor
Toa Baja, PR 00949-2821

Mailing address

PO Box 51502
Toa Baja, PR 00950-1502
Phone (787) 710-2532

Other identifiers 1

IdentifierTypeStateIssuer
EC848AOtherPRMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
PR Renal Health and Research Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1912398157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51502",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501502",
            "telephone_number": "787-710-2532",
            "fax_number": "939-202-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMERIO AVE",
            "address_2": "2ND FLOOR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492821",
            "telephone_number": "787-710-2532",
            "fax_number": "939-202-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR RENAL HEALTH AND RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "OTEGBOLA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "787-710-2532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EC848A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.