KIDNEY MD LLC NPI 1013634336

NPI Information

  • NPI: 1013634336
  • Provider Name: KIDNEY MD LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1611 NW 12TH AVE
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 631-2485

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NPI Details

KIDNEY MD LLC is a nephrology internal medicine in Miami, FL. The provider is 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. KIDNEY MD LLC NPI is 1013634336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136-005
Phone: (305) 631-2485

The provider's authorized official is Saul Gonzalez Montalvo .
The authorized official title is Owner and has the following contact phone number (787) 467-6746.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.

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
1207RN0300XInternal MedicineNephrologyYes

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: 3/30/2025

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