# NEFROLOGY & MEDICAL SERVICES PSC

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

## Provider details

- **NPI number:** 1619236171
- **Authorized official:** DR. EDWIN A MORA-RUIZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 740-1011

## Contact information

- **Practice address:** 66 CALLE SANTA CRUZ, SUITE 503 INSTITUTO SAN PABLO, BAYAMON, PR 00961-7041
- **Practice address phone:** (787) 740-1011
- **Practice address fax:** (787) 740-1008
- **Mailing address:** PO BOX 9220, BAYAMON, PR 00960-9220
- **Mailing address phone:** (787) 740-1011
- **Mailing address fax:** (787) 740-1008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8838 | PR | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/03/2012
