MD RENAL GROUP LLC NPI 1043595291

NPI Information

  • NPI: 1043595291
  • Provider Name: MD RENAL GROUP LLC
  • Classification: Exclusive Provider Organization - 302F00000X
  • Entity Type: Organization
  • Former Legal Business Name: MD RENAL GROUP LLC
  • Address: AVENUE SEVERIANO CUEVAS 18
    HOSPITAL BUEN SAMARITANO GROUND FLOOR
    AGUADILLA, PR
    ZIP 00605
  • Phone: (787) 997-0101

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NPI Details

MD RENAL GROUP LLC is an exclusive provider organization in Aguadilla, PR. The provider is (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. MD RENAL GROUP LLC NPI is 1043595291. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Md Renal Group Llc.

The provider's business location address is:

AVENUE SEVERIANO CUEVAS 18
HOSPITAL BUEN SAMARITANO GROUND FLOOR
AGUADILLA, PR
ZIP 00605-026
Phone: (787) 997-0101

The provider's authorized official is Mayra I Santiago .
The authorized official title is Administrative Chief Officer and has the following contact phone number (939) 639-0557.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 8/14/2012.

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
1302F00000XExclusive Provider Organization17129PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11043595291OTHERPUERTO RICONPI

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: 11/21/2025

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