Elite Nephrology Care Center PSC
Organization Active NPI Nephrology Physician · Mayaguez, PR
NPI 1962978262 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1962978262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- ELITE NEPHROLOGY CARE CENTER PSC
- Practice address
- Edificio Medical Emporium Oficina 203
Carretera 2 KM 156.5 Barrio Sabalos
Mayaguez, PR 00680 - Phone
- (787) 255-9890
- Fax
- (787) 255-9891
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Pedro Pagan Torres, MD
- Title
- President
- Phone
- (787) 643-5076
Practitioners 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210414002036 | PR | Part B Supplier - Clinic/Group Practice | 3072921915 |
Receives reassigned benefits from 1 practitioner Practice locations: San German, PR; Mayaguez, PR |
National Provider Directory
Locations
357 Ave Hostos
Ofc Park
Mayaguez, PR 00680
Phone (787) 806-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
Edificio Medical Emporium Oficina 203
Carretera 2 KM 156.5 Barrio Sabalos
Mayaguez, PR 00680
Mailing address
PO Box 203
Cabo Rojo, PR 00623-0203
Phone (787) 643-5076
Other practice location 1
Hospital De La Concepcion
Torre Medica San Vicente De Paul suite 402
San German, PR 00683
Phone (787) 630-2353
Other providers in Mayaguez, PR
- Ecs Elderly Care Service, LLC
- Edrick Nieves Gonzalez
- Egm Pharmacy Inc
- Monica Maria Egozcue-Dionisi
- Elite Family West Health LLC
- Emax Corporation
- Emilio O Vincenty-Asad
- Empresas Futuro LLC
- Empresas Ramirez Inc
- Empresas RPR Farmacia la Candelaria Inc.
All providers in Mayaguez, PR · Nephrology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.