SOUTH RENAL CARE P.S.C NPI 1295020790

NPI Information

  • NPI: 1295020790
  • Provider Name: SOUTH RENAL CARE, P.S.C
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 2275 PONCE BY PASS
    CARIBBEAN MEDICAL CENTRE SUITE 202
    PONCE, PR
    ZIP 00717
  • Phone: (787) 840-1445

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NPI Details

SOUTH RENAL CARE, P.S.C is a nephrology internal medicine in Ponce, PR. 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. SOUTH RENAL CARE, P.S.C NPI is 1295020790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2275 PONCE BY PASS
CARIBBEAN MEDICAL CENTRE SUITE 202
PONCE, PR
ZIP 00717-380
Phone: (787) 840-1445
Fax: (787) 848-4657

The provider's authorized official is Luis A Ortiz Heredia .
The authorized official title is President and has the following contact phone number (787) 362-0722.

The enumeration date for this NPI number is 6/13/2011 and was last updated on 6/13/2011.

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 MedicineNephrology016621PUERTO 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
10028514MEDICARE PINPUERTO RICO
2016621OTHERPUERTO RICOPR MEDICAL LICENSE

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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