MD RENAL GROUP LLC (NPI# 1043595291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043595291 |
| Entity Type | Organization |
| Organization Name | MD RENAL GROUP LLC |
| Other Organization Name | MD RENAL GROUP LLC |
| Practice Address |
Avenue Severiano Cuevas 18 Hospital Buen Samaritano Ground Floor Aguadilla PR 00605-9026 |
| Mailing Address |
Po Box 667 Moca PR 00676-0667 |
| Practice Telephone | 7879970101 |
| Mailing Telephone | 7879970101 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | PROF. MAYRA I SANTIAGO (ADMINISTRATIVE CHIEF OFFICER) |
| Authorized Official Telephone | 9396390557 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 17129 | PR | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | NPI | 1043595291 | 01 |
| Other Name | Type Code |
|---|---|
| MD Renal Group LLC | Former Legal Business Name - Organization |
| Street Address |
AVENUE SEVERIANO CUEVAS 18 HOSPITAL BUEN SAMARITANO GROUND FLOOR |
| City | AGUADILLA |
| State | PR |
| Zip Code | 00605-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163071 | Belinda Mendez | Occupational Therapist | Carr 107 Km 28.5, Edificio Manuel Garcia, Aguadilla, PR 00605 | 2020-04-22 |
| 1518511906 | Gisela Acevedo Morales | General Practice | Avenida Severiano Cuevas #18 Km 141.1 Bo Caimital Bajo, Hospital Buen Samaritano Apartado 4055, Aguadilla, PR 00605 | 2019-07-24 |
| 1346801503 | Zuleyka Mendez | Student in an Organized Health Care Education/Training Program | 18 Avenida Severiano Cuevas Km 14.1 Caimital Bajo, Aguadilla, PR 00605 | 2019-06-27 |
| 1487116844 | Edward Echevarria Torres | Student in an Organized Health Care Education/Training Program | Calle Jose De Diego Aguadilla Pueblo, Aguadilla, PR 00605 | 2019-04-04 |
| 1558841650 | Lissette Chaparro Gonzalez | Pharmacy Technician | Carr 2 Km 126.4 Caimital Alto, Aguadilla, PR 00605 | 2018-08-17 |
| 1679066435 | Dannel Diaz Ruiz | Student in an Organized Health Care Education/Training Program | Calle Jose De Diego, Aguadilla Pueblo, Aguadilla, PR 00605 | 2018-06-07 |
| 1134577976 | Norberto J Garcia | General Practice | Carr 2 Avenida Severiano Cuevas 18, Aguadilla, PR 00605 | 2016-06-02 |
| 1497109987 | Christian Omar Furseth | Counselor | Urb . Vista Verde Calle 9 # 552, Aguadilla, PR 00605 | 2016-04-20 |
| 1043679236 | Renova Corp. Csp | Clinic/Center | Carr 2 Km 141.1 Ave Severeano Cuevas #18, Western Medical Plaza 1st Floor Suite # 24, Aguadilla, PR 00605 | 2016-02-16 |
| 1457718546 | Samuel Anibal Fuentes Flores | General Practice | Carretera 2 Km 141.1 Avenida Severiano Cuevas 18, Barrio Caimital Bajo, Aguadilla, PR 00605 | 2016-01-21 |
| Find all providers in zip 00605 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667906 | Northwestern Renal Care Psc | Exclusive Provider Organization | Edificio Western Plaza, Oficina 10, Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603 | 2020-07-30 |
| 1316350408 | Aco Salud Clinica Multidisciplinaria Oeste Inc | Exclusive Provider Organization | Sector Victoria Carr 2 Km 129.3, Aguadilla Medical, Aguadilla, PR 00605 | 2014-06-05 |
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| 1942743208 | Farmacia La Candelaria Inc. | Exclusive Provider Organization | Ave 111 Km 18.7, San Sebastian, PR 00667 | 2016-11-18 |
| 1295282499 | Functional Endocrinology Institute P.s.c | Exclusive Provider Organization | 120 Calle Carazo, Guaynabo, PR 00970 | 2016-09-06 |
| 1740653229 | Kiana Med Serv Inc | Exclusive Provider Organization | 529 Calle W Morales, Urb Estancias Del Golf, Ponce, PR 00730 | 2015-11-05 |
| 1538559596 | Aliansa De Salud Primaria Inc. | Exclusive Provider Organization | #14 Calle Betances, Santa Isabel, PR 00757 | 2015-01-29 |
| 1922402437 | A.collazo Md, Csp | Exclusive Provider Organization | Ave. Ponce By Pass 2225, Suite 409, Ponce, PR 00717-1322 | 2014-10-13 |
| 1831592120 | Sociedad De Salud Mental, LLC | Exclusive Provider Organization | 118 Carr 159 Ste 2b, Ortiz Medical Plaza, Corozal, PR 00783-2346 | 2014-10-01 |
| 1013317734 | Servicios Medicos Del Plata 4352 | Exclusive Provider Organization | 349 Mendez Vigo, Suite 10, Dorado, PR 00646-0687 | 2014-08-29 |
| 1184039141 | Centro Obstetrico Y Ginecologico Incorporado | Exclusive Provider Organization | B9 Ave Los Veteranos, Urb Villa Rosa IIi, Guayama, PR 00784 | 2014-06-27 |
| 1659785673 | Jmg Surgical Services Psc | Exclusive Provider Organization | 15 Doctor Basora, Hospital Perea, Mayaguez, PR 00680 | 2014-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.