South Renal Care, P.S.C
NPI 1295020790ActiveOrganization· Internal Medicine, Nephrology· Ponce, PR
Internal Medicine, Nephrology in Ponce, Puerto Rico, registered in NPPES in June 2011. The authorized official on file is Luis A. Ortiz Heredia, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295020790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2011 |
| Last updated in NPPES | Jun 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 016621 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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