# NORTHWESTERN RENAL CARE PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427667906
- **Authorized official:** ELVIN SOTO HERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (939) 639-0557

## Contact information

- **Practice address:** EDIFICIO WESTERN PLAZA, OFICINA 10, AVE. SEVERIANO CUEVAS 18, CARR 460 KM 1.2 INT, AGUADILLA, PR 00603
- **Practice address phone:** (939) 639-0557
- **Mailing address:** HC 61 BOX 5400, AGUADA, PR 00602-9534
- **Mailing address phone:** (939) 639-0557
- **Mailing address fax:** (787) 877-3516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 07/30/2020