Southeast Renal Group Psc
NPI #1821413527 in Santa Isabel, Puerto Rico
Provider Information
- NPI Number
- 1821413527
- Entity Type
- Organization
- Organization Name
- Southeast Renal Group Psc
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 21, 2017
Practice Location
- Address
- SANTA ISABEL PROFESSIONAL BLDG
- Address 2
- SUITE 205
- City
- Santa Isabel
- State
- Puerto Rico
- ZIP Code
- 00757
- Phone
- (787) 971-7133
Authorized Official
- Name
- MR. LUIS A ORTIZ HEREDIA
- Title
- PRESIDENT
- Phone
- (787) 971-7133
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Internal Medicine |
| Nutritionist |
| Psychologist - Clinical — Clinical |
| Internal Medicine - Nephrology — Nephrology |
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