Organization · Type 2 NPI

Departamento de Salud Oficial

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rio Piedras, PR

NPI number 1023169034 Active

Practice location

University Pediatric Hospital, Carr 22 Bo Monacillo
Rio Piedras, PR 00935

Call (787) 777-3232 Map

Fax (787) 756-8907

Mailing address

PO Box 191079
San Juan, PR 00919-1079

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	34CNC NUM92-168 (PR)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1023169034
Entity type: Organization (Type 2)
Issued: Jan 16, 2007
Last updated: Apr 14, 2026
Status: Active

Other names

<unavail>
Pediatric Renal Center, University Pediatric Hospital · doing business as
Pediatric Renal Center, University Pediatric Hospital · doing business as

Authorized official

Mrs. Gisselle Karina Van Derdys, MHSA
Executive Director
(787) 474-0333

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About NPI 1023169034

Departamento de Salud Oficial's National Provider Identifier is 1023169034, issued on Jan 16, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Rio Piedras, PR. The record was last updated on Apr 14, 2026.