MANAGEMENT RENAL GROUP LLC NPI 1932764339

NPI Information

  • NPI: 1932764339
  • Provider Name: MANAGEMENT RENAL GROUP, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 4742 SW 74TH AVE
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 486-0821

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NPI Details

MANAGEMENT RENAL GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Miami, FL. MANAGEMENT RENAL GROUP, LLC NPI is 1932764339. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4742 SW 74TH AVE
MIAMI, FL
ZIP 33155-457
Phone: (786) 486-0821

The provider's authorized official is Jorge Fernandez .
The authorized official title is Owner and has the following contact phone number (786) 486-0821.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 5/1/2019.

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
1246ZN0300XSpecialist/Technologist, OtherNephrologyNo
2332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
3261QE0700XClinic/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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