RENAL CENTER OF GUAYNABO – NPI #1184831398
Clinic/Center

RENAL CENTER OF GUAYNABO is an AHC clinic located in GUAYNABO, PR. NPPES has assigned the NPI number 1184831398 to RENAL CENTER OF GUAYNABO on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAL CENTER OF GUAYNABO” is a dba name, the actual legal business name for this organization is ATLANTIS HEALTH CARE GROUP PUERTO RICO INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 18 years ago on Sep 30, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENAL CENTER OF GUAYNABO below.

NPI Profile for
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC

NPI Number
1184831398
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Doing Business As (dba): RENAL CENTER OF GUAYNABO
Primary location
GUAYNABO MEDICAL MALL # 140
AVENIDA LAS CUMBRE
GUAYNABO, PR 00970
Phone: (787) 292-7979 Fax: (787) 292-7999
Mailing address
PO BOX 1350
SAINT JUST STATION
SAINT JUST, PR 00978-1350
Phone: (787) 292-7979 Fax: (787) 292-7999
Organization Subpart
No
Authorized Official
INGRID ACEVEDO
EVP & CFO
Phone: (787) 292-7979
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
PR LIC # 15 CNC 07-227

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.