DR DIALYSIS LLC NPI 1790507879

NPI Information

  • NPI: 1790507879
  • Provider Name: DR DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Former Legal Business Name: DR DIALYSIS LLC
  • CLIA Number: 10D2314652
  • Address: 1680 NE 164TH ST
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Phone: (305) 749-6774

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NPI Details

DR DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in North Miami Beach, FL. DR DIALYSIS LLC NPI is 1790507879. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dr Dialysis Llc.

The provider's business location address is:

1680 NE 164TH ST
NORTH MIAMI BEACH, FL
ZIP 33162-017
Phone: (305) 749-6774
Fax: (305) 749-6869

The provider's authorized official is Daly Rodriguez Duran .
The authorized official title is Owner/administrator and has the following contact phone number (786) 445-3311.

The CLIA number assigned to this NPI record is 10D2314652 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2024 and was last updated on 11/1/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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