RENALIFE, PSC – NPI #1083964357
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

RENALIFE, PSC is a provider located in SAN JUAN, PR. NPPES has assigned the NPI number 1083964357 to RENALIFE, PSC on September 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Jun 25, 2020. 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 RENALIFE, PSC below.

NPI Profile for
RENALIFE, PSC

NPI Number
1083964357
Enumeration Date

(more than 13 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
RENALIFE, PSC
Primary location
HOSPITAL AUXILIO MUTUO
AVE PONCE DE LEON PDA 37 1/2
SAN JUAN, PR 00919
Phone: (787) 458-2000 Fax:
1 Other location(s):
313 AVE. DOMENECH
101
SAN JUAN, PR 00918
Phone: (787) 763-7423
Fax: (787) 687-7639
Mailing address
PO BOX 1947
CAGUAS, PR 00726-1947
Phone: (787) 224-0499 Fax: (787) 687-7639
Organization Subpart
No
Authorized Official
GLENDA MIRANDA TIRADO
PRESIDENT
Phone: (787) 224-0499
Updated
Certification Date
Jun 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RN0300X
- Internal Medicine / Nephrology (Primary)		 PR 17265

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.