SOUTHEAST RENAL GROUP PSC NPI 1821413527

NPI Information

  • NPI: 1821413527
  • Provider Name: SOUTHEAST RENAL GROUP PSC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: SANTA ISABEL PROFESSIONAL BLDG
    SUITE 205
    SANTA ISABEL, PR
    ZIP 00757
  • Phone: (787) 971-7133

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NPI Details

SOUTHEAST RENAL GROUP PSC is a nephrology internal medicine in Santa Isabel, 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. SOUTHEAST RENAL GROUP PSC NPI is 1821413527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

SANTA ISABEL PROFESSIONAL BLDG
SUITE 205
SANTA ISABEL, PR
ZIP 00757
Phone: (787) 971-7133

The provider's authorized official is Luis A Ortiz Heredia .
The authorized official title is President and has the following contact phone number (787) 971-7133.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/21/2017.

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
1208D00000XGeneral PracticeNo
2207R00000XInternal MedicineNo
3133N00000XNutritionistNo
4103TC0700XPsychologistClinicalNo
5207RN0300XInternal 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: 11/21/2025

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