NORTHWESTERN RENAL CARE PSC

AGUADILLA, PR
NPI1427667906
Entity TypeOrganization
Authorized ContactELVIN SOTO HERNANDEZ
President
939-639-0557
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
NORTHWESTERN RENAL CARE PSC
EDIFICIO WESTERN PLAZA, OFICINA 10 AVE. SEVERIANO CUEVAS 18, CARR 460 KM 1.2 INT
AGUADILLA, PR 00603
Phone number: 939-639-0557
Mailing Address
NORTHWESTERN RENAL CARE PSC
HC 61 BOX 5400
AGUADA, PR 00602-9534
Phone number: 939-639-0557