SOUTHEAST RENAL GROUP PSC

SANTA ISABEL, PR
NPI1821413527
Entity TypeOrganization
Authorized ContactLUIS A ORTIZ HEREDIA
President
787-971-7133
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Additional Taxonomies208D00000X General Practice
207R00000X Internal Medicine
133N00000X Nutritionist
103TC0700X Psychologist, Clinical
Enumeration Date2014-03-04
Last Update Date2017-03-21
Business Address
SOUTHEAST RENAL GROUP PSC
SANTA ISABEL PROFESSIONAL BLDG SUITE 205
SANTA ISABEL, PR 00757
Phone number: 787-971-7133
Mailing Address
SOUTHEAST RENAL GROUP PSC
PO BOX 335432
PONCE, PR 00733-5432
Phone number: 787-971-7133