Active NPI
PR Renal Health and Research Inc
- Adult Mental Health Clinic/Center
- Toa Baja, PR
National Provider Identifier
1912398157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EC848A | Other | PR | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- PR Renal Health and Research Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Levittown, PR
- NPI 1083923114
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.