| Organization Name: | MEDNUR CORP |
| NPI Number: | 1306831946 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA SANCHEZ (FACTURACION) |
| Mailing Address: | Calle Colon # 106 Aguada |
| State: | PR US |
| Postal Code: | 006023166 |
| Phone Number: | 7872528330 |
| Fax Number: | 7872528337 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | LIC NUM 1 CNC 00-193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |