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Organization
RENAL IPA OF PR LLC
Active
Organization
RENAL IPA OF PR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO PALMER (MANAGER)
(787) 215-6056
Entity
Organization
Contact information
Practice address
27 CALLE DR NELSON PEREA STE 104, MAYAGUEZ, PR 00680-4950
(787) 215-6056
Mailing address
27 CALLE DR NELSON PEREA STE 104, MAYAGUEZ, PR 00680-4950
(787) 215-6056
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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