Southeast Renal Group PSC
NPI 1821413527ActiveOrganization· Internal Medicine, Nephrology· Santa Isabel, PR
Internal Medicine, Nephrology in Santa Isabel, Puerto Rico, registered in NPPES in March 2014. The authorized official on file is Luis A. Ortiz Heredia, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821413527 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2014 |
| Last updated in NPPES | Mar 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Nutritionist | 133N00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| General Practice | 208D00000X | — | — |
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) |
|---|
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