Organization Name: | PR RENAL HEALTH AND RESEARCH INC. |
NPI Number: | 1083923114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGRID ACEVEDO (EVP & CFO) |
Mailing Address: | Aniceto Diaz Street Intersection 876 Trujillo Alto |
State: | PR US |
Postal Code: | 00978 |
Phone Number: | 7872927979 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |