RENAL CENTRE OF PONCE
NPI 1639509896
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ponce, PR

NPI Status: Active since November 25, 2013

Contact Information

609 AVE TITO CASTRO
SUITE 102 PMB 380
PONCE, PR
ZIP 00716
Phone: (787) 292-7979
Fax: (787) 292-7999

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 40D0957910
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-04-2027

About RENAL CENTRE OF PONCE

This page provides the complete NPI Profile along with additional information for Renal Centre Of Ponce, a provider established in Ponce, Puerto Rico operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1639509896 assigned on November 2013. The practitioner's primary taxonomy code is 261QE0700X with license number #25 (PR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Renal Centre Of Ponce. The authorized official of this NPI record is Mrs. Rubette Harford (President, Ceo)

NPI
1639509896
Provider Legal Name
ATLANTIS HEALTH CARE GROUP PUERTO RICO, INC.
Other Organization Name
RENAL CENTRE OF PONCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
609 AVE TITO CASTRO SUITE 102 PMB 380 PONCE, PR 00716
Location Phone
(787) 292-7979
Location Fax
(787) 292-7999
Mailing Address
PMB 1350 ST. JUST STATION TRUJILLO ALTO, PR 00978
Mailing Phone
(787) 292-7979
Mailing Fax
(787) 292-7999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2013
Last Update Date
11-25-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
#25
License State
PR

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RUBETTE HARFORD

Authorized Official Title
PRESIDENT, CEO
Authorized Official Phone
(787) 292-7979

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
40D0957910
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
March 05, 2025
Certificate Expiration Date
March 04, 2027
Laboratory Director
ANGEL RIVERA-SANTOS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Renal Centre Of Ponce to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RENAL CENTRE OF PONCE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639509896
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266910018818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1639509896 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578568598DR. CARLOS F BENITEZ D.M.D.
Individual
Dentist (General Practice)609 AVE TITO CASTRO PMB 349
PONCE, PR 00716
(787) 841-1419
1568473171MARIA TERESA NIEVES RODRIGUEZ
Organization
Clinical Medical Laboratory609 AVE TITO CASTRO ST 102 PMB 353
PONCE, PR 00716
(787) 837-6420
1871806299MRS. AMPARO FIGUEROA M.A
Individual
Psychologist609 AVE TITO CASTRO STE 102 PMB #174
PONCE, PR 00716
(787) 601-7870
1326311648 KARLA MARIE BERRIOS MSW
Individual
Social Worker (Clinical)609 AVE TITO CASTRO SUITE 102 PBM 380
PONCE, PR 00716
(787) 292-7979
1831114719DR. ORLANDO J MARCHENA ARRAUT MD
Individual
Internal Medicine609 AVE TITO CASTRO SUITE 102 PMB 353
PONCE, PR 00716
(787) 837-0002
1245298926 RICARDO CRUZ MD
Individual
Anesthesiology609 AVE TITO CASTRO SUITE 102 PMB 346
PONCE, PR 00716
(787) 319-7677
1649625013SOUTHERN INTERNAL MEDICINE INSTITUTE
Organization
Clinic/Center (Medical Specialty)609 AVE TITO CASTRO STE 102 PMB 153
PONCE, PR 00716
(787) 259-3316
1720063332DR. GILBERTO RUIZ DEYA M.D.
Individual
Urology609 AVE TITO CASTRO STE. 102, PMB 363
PONCE, PR 00716
(787) 284-3333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639509896, enumerated in the NPI registry as an "organization" on November 25, 2013

The provider is located at 609 Ave Tito Castro Suite 102 Pmb 380 Ponce, Pr 00716 and the phone number is (787) 292-7979

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider's CLIA number is 40D0957910 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 25, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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