PUERTO RICO RENAL HEALTH & RESEARCH (NPI# 1083977920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083977920 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO RENAL HEALTH & RESEARCH |
| Other Organization Name | CKD -PONCE |
| Practice Address |
609 Ave.tito Castro Suite 102 Pbm 380 Ponce PR 00716-0200 |
| Mailing Address |
Ave.tito Castro 609 Suite 102 Pbm 380 Ponce PR 00716-2232 |
| Practice Telephone | 7877102532 |
| Practice Fax Number | 7878435252 |
| Mailing Telephone | 7877102532 |
| Mailing Fax Number | 7878435252 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | MRS. ROSARIO ORTIZ (PRIMARY NURSE) |
| Authorized Official Telephone | 7877102532 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
1041C0700X | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CKD -Ponce | Former Legal Business Name - Organization |
| Street Address |
609 AVE.TITO CASTRO SUITE 102 PBM 380 |
| City | PONCE |
| State | PR |
| Zip Code | 00716-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1750742524 | Intermed, LLC | Clinic/Center | 3336 Calle Dona Juana, Urb. Vista Point, Ponce, PR 00716 | 2016-03-08 |
| 1508223652 | Professional Integrated Medical Solution,psc | Clinic/Center | 121 Calle Castania, Urb Terra Senorial, Ponce, PR 00731 | 2016-01-20 |
| 1679828032 | Servicios Multidiciplinarios Para La Conducta Humana | Clinic/Center | Brisas Del Caribe Calle 6 Casa 198, Ponce, PR 00728 | 2012-07-20 |
| 1871866467 | Freedom Healthcare Inc | Clinic/Center | 3051 El Tuque Ind Pk, Suite 102-103 Carr 591, Ponce, PR 00728 | 2012-02-14 |
| 1174645089 | Seccion A Ninos Con Necesidades Especiales | Clinic/Center | Centro Pediatrico De Ponce, Avenida Tito Castro 931 Carr. 14 Bo. Machuelo, Ponce, PR 00716-4717 | 2007-04-04 |
| 1255464293 | Departamento De Salud Oficial | Clinic/Center | Antiguo Hospital De Distrito Hospital Dr. Jose', Gandara, Carr. 14, So Machuelo, Ponce, PR 00731 | 2007-03-13 |
| 1730217464 | Eye Care Consultants,psc | Clinic/Center | 103 Calle Reina, Ponce, PR 00730-3680 | 2007-03-02 |
| 1629257910 | Optica San Vicente Inc | Clinic/Center | 44 Calle Mayor, Zamora Building First Floor, Ponce, PR 00730-3728 | 2007-11-02 |
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| 1568007797 | Prevenwell, L.L.C. | Clinic/Center | 551 Calle Navamar, Cerro Las Mesas, Mayaguez, PR 00680 | 2019-11-12 |
| 1467000869 | Zen Spa Enterprises Inc | Clinic/Center | 1054 Ave Ashford, San Juan, PR 00907-1233 | 2019-08-28 |
| 1538717269 | Zen Spa Caribbean Corp | Clinic/Center | B2 Calle Tabonuco, Guaynabo, PR 00968-3001 | 2019-08-27 |
| 1558919282 | Zen Spa International Inc | Clinic/Center | 200 Convention Blvd, San Juan, PR 00907-4905 | 2019-08-27 |
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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.