RENALIFE, PSC (NPI# 1083964357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083964357 |
| Entity Type | Organization |
| Organization Name | RENALIFE, PSC |
| Practice Address |
Hospital Auxilio Mutuo Ave Ponce De Leon Pda 37 1/2 San Juan PR 00919 |
| Mailing Address |
Po Box 1947 Caguas PR 00726-1947 |
| Practice Telephone | 7874582000 |
| Mailing Telephone | 7872240499 |
| Mailing Fax Number | 7876877639 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | DR. GLENDA MICHELLE MIRANDA TIRADO (PRESIDENT) |
| Authorized Official Telephone | 7872240499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
17265 | PR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 313 Ave. Domenech, 101, San Juan, PR 00918 | 7877637423 | 7876877639 |
| Street Address |
HOSPITAL AUXILIO MUTUO AVE PONCE DE LEON PDA 37 1/2 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293642 | Monica Santiago Nunez | Internal Medicine | Hospital Auxilio Mutuo, Ave. Ponce De Leon # 715 Ofic. 201 Pda. 37.5, San Juan, PR 00936 | 2005-08-26 |
| 1962986604 | Velez Surgery Psc | Surgery | Hospital Auxilio Mutuo, Parada 37 1/2 Ponce De Leon Ave, San Juan, PR 00919 | 2018-09-19 |
| 1356770226 | Jorge Carlos Suarez Colon | General Practice | Hospital Auxilio Mutuo, Ave. Ponce De Leon Parada 37, San Juan, PR 00919 | 2013-11-01 |
| 1922321694 | Acc Neurology Group Psc | Neurological Surgery | Hospital Auxilio Mutuo, 715 Ave Ponce De Leon, San Juan, PR 00917 | 2010-03-09 |
| 1306097373 | Glenda Michelle Miranda Tirado | Internal Medicine | Hospital Auxilio Mutuo, Ave Ponce De Leon Pda 37 1/2, San Juan, PR 00919 | 2008-10-08 |
| 1083898969 | Alexis Manuel Cruz-chacon | Internal Medicine | Hospital Auxilio Mutuo, 715 Ponce De Leon Pda 37 1/2, San Juan, PR 00919-2712 | 2007-12-27 |
| 1841346913 | Olga M Lliteras | Personal Emergency Response Attendant | Hospital Auxilio Mutuo, Ave Ponce De Leon, San Juan, PR 00918 | 2007-01-25 |
| 1922168632 | Maria Mercedes Sanchez-longo | Pediatrics | Hospital Auxilio Mutuo, San Juan, PR 00919 | 2006-12-11 |
| 1588740542 | Ignacio Echenique Iv | Colon & Rectal Surgery | Hospital Auxilio Mutuo, 1200 Ave Ponce De Leon, San Juan, PR 00907-3918 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667342 | Kiaraliz Cruz-montero | Dietitian, Registered | Ave. Juan Ponce De Leon Parada 37 1/2, Hato Rey, PR 00919 | 2020-10-22 |
| 1710596820 | Sara Viel Torres | Nutritionist | Avenida Ponce De Leon 715, Nutrition Department, San Juan, PR 00919 | 2020-07-24 |
| 1639797145 | Edniris Marie Barreto | Health Educator | Ave. Arterial Hostos, San Juan, PR 00919 | 2020-07-10 |
| 1134742182 | Antonio Enrique Gutierrez Mendiola | Student in an Organized Health Care Education/Training Program | Av Juan Ponce D E Leon,hato Rey, San Juan, PR 00919 | 2020-05-26 |
| 1679196547 | Alexandra Rodriguez Ruiz | Student in an Organized Health Care Education/Training Program | Ave. Ponce De Leon, Parada 37 1/2, Hato Rey, PR 00919 | 2020-05-26 |
| 1962061879 | Gert Harold Wandersleben Mihovilovic | General Practice | Ipa 513 Calle Mayaguez, Hato Rey, PR 00919 | 2019-06-13 |
| 1609356195 | Precision Hearing Center Inc | Physical Medicine & Rehabilitation | Street 845 Km 2 2, Ave Fairview D 36, San Juan, PR 00919 | 2018-08-15 |
| 1497258339 | Cmt Group, Corp | Radiology | Urb University Gardens, 300 Calle Clemson, San Juan, PR 00919 | 2018-03-16 |
| 1811401714 | Imrad Pr LLC | Radiology | 714 Ave Ponce De Leon Parada 37.5, Piso 3 Hospital Auxilio Mutuo, San Juan, PR 00919 | 2017-11-30 |
| 1952831604 | Steven Emil Morales Rivera | Student in an Organized Health Care Education/Training Program | Ponce De Leon Ave. Parada 37 1/2, Hospital Auxilio Mutuo Building #715, Hato Rey, PR 00919 | 2017-06-15 |
| Find all providers in zip 00919 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629481569 | Neysha Janice Sanchez Rivera | Internal Medicine | Upr Medical Sciences Campus School of Medicine, Barrio Monacillos Rio Piedras, San Juan, PR 00936-5067 | 2014-06-09 |
| 1982024931 | Rtroche Nephrology Psc | Internal Medicine | # 753 Torre Medica Auxilio Mutuo Suite 615, Ave Ponce De Leon, San Juan, PR 00917 | 2014-04-17 |
| 1194145235 | Nova Nephrology Psc | Internal Medicine | 735 Ave Ponce De Leon Ste 615, Torre Medica Auxilio Mutuo, San Juan, PR 00917-5029 | 2014-04-16 |
| 1780029496 | Advance Transplant Nephrology | Internal Medicine | Calle 1 K1, Mansiones De Villa Nova, San Juan, PR 00926-0000 | 2013-05-08 |
| 1558594010 | Jln Nephrology | Internal Medicine | 814 Ponce De Leon Ave, Suite 814 Torre Medica Auxilio Mutuo, San Juan, PR 00917 | 2009-09-01 |
| 1659503282 | Jss Nephrology, Psc | Internal Medicine | 363 Calle Jose Espinosa, Borinquen Gardens, San Juan, PR 00926-6324 | 2009-08-15 |
| 1023262110 | Cristy Gianna Martinez-lopez | Internal Medicine | 559 Calle Cuevillas, El Avellano 4a, San Juan, PR 00907-2535 | 2008-11-17 |
| 1932387479 | San Juan Nephrology P.s.c. | Internal Medicine | U3-3 Carr 21, Urb Las Lomas, San Juan, PR 00921-3313 | 2008-02-07 |
| 1053531822 | Libia A Diaz | Internal Medicine | 650 Calle S Cuevas Bustamante, Cond. Segovia #1809, San Juan, PR 00918-3822 | 2007-04-26 |
| 1538289897 | Enrique O Ortiz-kidd | Internal Medicine | 85 Calle Limoncillo, San Juan, PR 00927-6603 | 2007-03-30 |
| Find all providers in SAN JUAN | ||||
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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.