RENAL CENTRE OF FAJARDO – NPI #1750712394
Clinic/Center

RENAL CENTRE OF FAJARDO is an AHC clinic located in FAJARDO, PR. NPPES has assigned the NPI number 1750712394 to RENAL CENTRE OF FAJARDO on December 09, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAL CENTRE OF FAJARDO” 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

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 CENTRE OF FAJARDO below.

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

NPI Number
1750712394
Enumeration Date

(more than 12 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 CENTRE OF FAJARDO
Primary location
404 AVE GENERAL VALERO
SAN PABLO DEL ESTE
FAJARDO, PR 00738-3952
Phone: (787) 292-7979 Fax: (787) 292-7999
Mailing address
PO BOX 1350
ST. JUST STATION
TRUJILLO ALTO, PR 00977-1350
Phone: (787) 292-7979 Fax: (787) 292-7999
Organization Subpart
No
Authorized Official
RUBETTE HARFORD
PRESIDENT, CEO
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 #12

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.