| NPI | 1083964357 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-09-14 |
| Last Updated | 2020-06-25 |
| Authorized Official | Glenda Miranda Tirado PRESIDENT Phone: 7872240499 |
| Mailing Address | Po Box 1947 Caguas, PR 00726-1947 United States Phone: (787) 224-0499 | Fax: (787) 687-7639 📍 View Map |
| Primary Practice Address | Hospital Auxilio Mutuo, Ave Ponce De Leon Pda 37 1/2 San Juan, PR 00919 United States Phone: (787) 458-2000 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RN0300X – Internal Medicine, Nephrology | PR | 17265 |
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About NPI 1083964357
Renalife, Psc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083964357. The primary specialty listed is Internal Medicine, Nephrology. The organization is located in San Juan, PR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083964357?
NPI 1083964357 belongs to Renalife, Psc, a Internal Medicine, Nephrology in San Juan, PR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083964357 active?
The current status of NPI 1083964357 in the NPPES registry is Active. The record was last updated on 2020-06-25.
What specialty is NPI 1083964357?
NPI 1083964357 is classified under the taxonomy Internal Medicine, Nephrology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083964357?
You can verify NPI 1083964357 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083964357?
The primary practice address on file for NPI 1083964357 is Hospital Auxilio Mutuo, San Juan, PR 00919. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083964357 issued?
NPI 1083964357 was first issued (enumerated) on 2012-09-14. The NPPES record was last updated on 2020-06-25.
Practice Location Map
Renalife, Psc is located at Hospital Auxilio Mutuo, San Juan, PR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Renalife, Psc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083964357. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Nephrology | 17265 | PR |