San Juan Nephrology P.S.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

14688 Issued in PR

Legal business name

SAN JUAN NEPHROLOGY P.S.C.

Practice address

U3-3 Carr 21
Urb Las Lomas
San Juan, PR 00921-3313

Phone

(787) 783-6460

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo Troche, M.D.NPI 1639195597

Title

Chairman of the Board

Phone

(787) 531-1159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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.

• Rodolfo Troche, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1639195597
  Medicare reassignment Care Compare group NPD Authorized official
• Manuel A. Figueroa-Gonzalez, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1710906532
  Medicare reassignment Care Compare group NPD
• Jose L. Nieves-Rivera, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1033138607
  Medicare reassignment Care Compare group NPD
• Jose Santiago-Santiago, MD

  • Nephrology Physician
  • San Juan, PR
  • NPI 1619071859
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1932387479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD",
            "address_2": "SUITE # 112 PMB #331",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-531-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U3-3 CARR 21",
            "address_2": "URB LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213313",
            "telephone_number": "787-783-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN NEPHROLOGY P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "TROCHE",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "787-531-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Internal Medicine LLC
• San Juan Medical Assoc PSC
• San Juan Medical Imaging
• San Juan Medical Laboratory
• San Juan Medical Pharmacy
• San Juan Ophthalmology Group CSP
• San Juan Pediatric Dental Home PSC
• San Juan Pelvic Medicine Center, P.S.C.
• San Juan Periodontics
• San Juan Primary Health Care Providers, LLC

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.