Organization Active NPI

Rtroche Nephrology PSC

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1982024931
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14688 Issued in PR
Legal business name
RTROCHE NEPHROLOGY PSC
Practice address
# 753 Torre Medica Auxilio Mutuo Suite 615
Ave Ponce de Leon
San Juan, PR 00917
Phone
(787) 765-3300
Fax
(787) 765-3304
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Rodolfo Troche Negron, M.D.
Title
Owner
Phone
(787) 765-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 14688 PR Primary

Addresses

Primary practice location

# 753 Torre Medica Auxilio Mutuo Suite 615
Ave Ponce de Leon
San Juan, PR 00917

Mailing address

PO Box 11726
San Juan, PR 00922-1726
Phone (787) 765-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150120001415 PR Part B Supplier - Clinic/Group Practice 4587988654 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
R Troche Nephrology2 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.

Locations

735 Ave Ponce de Leon
Ste 615
San Juan, PR 00917
Phone (787) 507-3607

615 Ave Ponce de Leon
San Juan, PR 00917
Phone (787) 765-3300

Practitioners & affiliated clinicians

Practitioners 4

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": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1982024931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11726",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221726",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 753 TORRE MEDICA AUXILIO MUTUO SUITE 615",
            "address_2": "AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTROCHE NEPHROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "TROCHE NEGRON",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-765-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14688",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 17, 2014; 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.