Organization
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Active
Other names
Renal Center of Guaynabo
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ACEVEDO (EVP & CFO)
(787) 292-7979
Entity
Organization
Contact information
Practice address
GUAYNABO MEDICAL MALL # 140, AVENIDA LAS CUMBRE, GUAYNABO, PR 00970
(787) 292-7979
(787) 292-7999
Mailing address
PO BOX 1350, SAINT JUST STATION, SAINT JUST, PR 00978-1350
(787) 292-7979
(787) 292-7999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
LIC # 15 CNC 07-227
PR
Other
Enumeration date
05/17/2007
Last updated
09/30/2008
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