MD Renal Group LLC
NPI 1043595291ActiveOrganization· Exclusive Provider Organization· Aguadilla, PR
Exclusive Provider Organization in Aguadilla, Puerto Rico, registered in NPPES in October 2011. The authorized official on file is Mayra I. Santiago, M.A., Administrative Chief Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043595291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2011 |
| Last updated in NPPES | Aug 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 17129 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
Other Exclusive Provider Organization providers in Aguadilla
- 1316350408
- 1427667906
All Exclusive Provider Organization providers in Puerto Rico