SUPER NOVA DIALYSIS CENTER INC. NPI 1588927479

NPI Information

NPI: 1588927479
Provider Name: SUPER NOVA DIALYSIS CENTER, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5544 SW 8TH ST
CORAL GABLES, FL
ZIP 33134
Phone: (786) 715-5484
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SUPER NOVA DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Coral Gables, FL. SUPER NOVA DIALYSIS CENTER, INC. NPI is 1588927479. The provider is registered as an organization entity type.

The provider's business location address is:

5544 SW 8TH ST
CORAL GABLES, FL
ZIP 33134-220
Phone: (786) 715-5484
Fax: (786) 206-9009

The provider's authorized official is Felicita Casas .
The authorized official title is President and has the following contact phone number (305) 431-3191.

The enumeration date for this NPI number is 6/17/2012 and was last updated on 6/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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