Organization
MD RENAL GROUP LLC
Active
Other names
MD Renal Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. MAYRA I SANTIAGO M.A. (ADMINISTRATIVE CHIEF OFFICER)
(939) 639-0557
Entity
Organization
Contact information
Practice address
AVENUE SEVERIANO CUEVAS 18, HOSPITAL BUEN SAMARITANO GROUND FLOOR, AGUADILLA, PR 00605-9026
(787) 997-0101
Mailing address
PO BOX 667, MOCA, PR 00676-0667
(787) 997-0101
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
17129
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043595291
NPI
PR
Enumeration date
10/19/2011
Last updated
08/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us