Organization
KIDNEYSPA SUGAR LAND HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M CUELLAR MD (CEO)
(305) 329-2900
Entity
Organization
Contact information
Practice address
145 PROMENADE WAY STE 5, SUGAR LAND, TX 77479-7225
(305) 548-4000
Mailing address
PO BOX 352348, MIAMI, FL 33135-8348
(305) 548-4000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
11/28/2023
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