Provider Demographics
NPI:1891412334
Name:ACUTE DIALYSIS LLC
Entity type:Organization
Organization Name:ACUTE DIALYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYMARI
Authorized Official - Middle Name:PIOL
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-624-2950
Mailing Address - Street 1:3105 S BUSINESS HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9696
Mailing Address - Country:US
Mailing Address - Phone:956-994-9377
Mailing Address - Fax:956-513-0734
Practice Address - Street 1:3105 S BUSINESS HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9696
Practice Address - Country:US
Practice Address - Phone:956-994-9377
Practice Address - Fax:956-513-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care