Kidney Health Services Llc | |
400 Ave Domenech Ste 607 San Juan PR 00918-3746 | |
(787) 250-0084 | |
Not Available |
Full Name | Kidney Health Services Llc |
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Speciality | Internal Medicine |
Location | 400 Ave Domenech Ste 607, San Juan, Puerto Rico |
Authorized Official Name and Position | Cesar F Hernandez-arroyo (PHYSICIAN) |
Authorized Official Contact | 9392045321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kidney Health Services Llc Bh10 Via Erie Trujillo Alto PR 00976-6136 Ph: () - | Kidney Health Services Llc 400 Ave Domenech Ste 607 San Juan PR 00918-3746 Ph: (787) 250-0084 |
NPI Number | 1366118895 |
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Provider Enumeration Date | 08/16/2021 |
Last Update Date | 10/30/2021 |
Medicare PECOS PAC ID | 3173914777 |
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Medicare Enrollment ID | O20211215000556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366118895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Cesar F Hernandez-arroyo |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1528473733 PECOS PAC ID: 5092024737 Enrollment ID: I20200825000392 |
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