Organization
NORTHWESTERN RENAL CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIN SOTO HERNANDEZ MD (PRESIDENT)
(939) 639-0557
Entity
Organization
Contact information
Practice address
EDIFICIO WESTERN PLAZA, OFICINA 10, AVE. SEVERIANO CUEVAS 18, CARR 460 KM 1.2 INT, AGUADILLA, PR 00603
(939) 639-0557
Mailing address
HC 61 BOX 5400, AGUADA, PR 00602-9534
(939) 639-0557
(787) 877-3516
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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