Organization · Type 2 NPI
Atlantis Health Care Group Puerto Rico Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Trujillo Alto, PR
NPI number
1104907682
Active
Practice location
Calle Aniceto Diaz Interseccion 876, Expreso Trujillo Alto
Trujillo Alto, PR 00978
Fax (787) 292-7999
Mailing address
PO Box 1350, St. Just Station
St. Just, PR 00978-1350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | LIC #3 CNC 01-109 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #23 CNC 05-260 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #12 CNC 04-126 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #19 CNC 01-107 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #37 CNC 02-166 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #25 CNC 01-108 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 27 CNC 02-162 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC NUM 36 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC #28 CNC 03-278 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC. #44 CNC12-087 (PR) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | LIC # 46 CNC 13-051 (PR) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1104907682
Atlantis Health Care Group Puerto Rico Inc's National Provider Identifier is 1104907682, issued on Oct 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Trujillo Alto, PR. The record was last updated on Sep 9, 2016.