Northwestern Renal Care Psc
NPI #1427667906 in Aguadilla, Puerto Rico
Provider Information
- NPI Number
- 1427667906
- Entity Type
- Organization
- Organization Name
- Northwestern Renal Care Psc
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 30, 2020
- Last Updated
- Jul 30, 2020
Practice Location
- Address
- EDIFICIO WESTERN PLAZA, OFICINA 10
- Address 2
- AVE. SEVERIANO CUEVAS 18, CARR 460 KM 1.2 INT
- City
- Aguadilla
- State
- Puerto Rico
- ZIP Code
- 00603
- Phone
- (939) 639-0557
Authorized Official
- Name
- ELVIN SOTO HERNANDEZ, MD
- Title
- PRESIDENT
- Phone
- (939) 639-0557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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