Provider Demographics
NPI:1427699859
Name:NEPHRO CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:NEPHRO CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAGNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-554-1700
Mailing Address - Street 1:1401 SW 107TH AVE STE 301M
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2553
Mailing Address - Country:US
Mailing Address - Phone:305-554-1700
Mailing Address - Fax:
Practice Address - Street 1:1401 SW 107TH AVE STE 301M
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2553
Practice Address - Country:US
Practice Address - Phone:305-554-1700
Practice Address - Fax:305-554-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty