MD Renal Group LLC
NPI #1043595291 in Aguadilla, Puerto Rico
Provider Information
- NPI Number
- 1043595291
- Entity Type
- Organization
- Organization Name
- MD Renal Group LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 19, 2011
- Last Updated
- Aug 14, 2012
Practice Location
- Address
- AVENUE SEVERIANO CUEVAS 18
- Address 2
- HOSPITAL BUEN SAMARITANO GROUND FLOOR
- City
- Aguadilla
- State
- Puerto Rico
- ZIP Code
- 00605-9026
- Phone
- (787) 997-0101
Authorized Official
- Name
- PROF. MAYRA I SANTIAGO, M.A.
- Title
- ADMINISTRATIVE CHIEF OFFICER
- Phone
- (939) 639-0557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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