NPI 1427667906

Northwestern Renal Care Psc

Organisation Exclusive Provider Organization Aguadilla, PR

Practice location

Address: Edificio Western Plaza, Oficina 10 Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603
Phone: (939) 639-0557
Mailing address: Hc 61 Box 5400, Aguada, PR 00602-9534

Authorised official

Name: Elvin Soto Hernandez
Title: President
Phone: (939) 639-0557

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Puerto Rico →

Registry record

NPI: 1427667906
Entity type: Organization
NPI issued: 30 Jul 2020
Record last updated: 30 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.