# CONSEJO RENAL DE PUERTO RICO

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

## Provider details

- **NPI number:** 1962566794
- **Authorized official:** MRS. HILDA I RODRIGUEZ (ACCOUNTANT)
- **Authorized official phone:** (787) 765-1500

## Contact information

- **Practice address:** \#117 ELEANOR ROOSEVELT STREET, SUITE 100A, SAN JUAN, PR 00918
- **Practice address phone:** (787) 765-1500
- **Practice address fax:** (787) 765-1515
- **Mailing address:** PO BOX 10542, SAN JUAN, PR 00922-0542
- **Mailing address phone:** (787) 765-1500
- **Mailing address fax:** (787) 765-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 07-F-0315 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 09F2556 | PR | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/29/2008