RENAL CENTER OF CAGUAS – NPI #1679787543
Clinic/Center

RENAL CENTER OF CAGUAS is an AHC clinic located in CAGUAS, PR. NPPES has assigned the NPI number 1679787543 to RENAL CENTER OF CAGUAS on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAL CENTER OF CAGUAS” 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 12 years ago on Apr 14, 2014. 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 CAGUAS below.

NPI Profile for
ATLANTIS HEALTH CARE GROUP PUERTO RICO, INC.

NPI Number
1679787543
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 CAGUAS
Primary location
AVENIDA LUIS MUNOZ MARIN Q2
URBANIZACION MARIOLGA
CAGUAS, PR 00725
Phone: (787) 745-0058 Fax: (787) 745-0058
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
RUBETTE HARFORD
PRESIDENT, CEO
Phone: 78729277979
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 # 42 CNC 98-319

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.