SOUTH KIDNEY CARE LLC
NPI 1053293233
Internal Medicine - Nephrology in Ponce, PR

Active since July 21, 2025
1203 AVE MUNOZ RIVERA, PONCE, PR 00717(787) 843-4588 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Kidney Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH KIDNEY CARE LLC (NPI 1053293233) is a healthcare organization registered as a nephrology in Ponce, Puerto Rico and active in the NPI registry since July 2025. The organization lists Nahomie Ivette Veguilla Rivera, Presidente, as its authorized official.

NPPES Registry Identity

NPI1053293233
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTH KIDNEY CARE LLC
Location Address1203 AVE MUNOZ RIVERAPonce, PR 00717-0634
Mailing Address7 Calle PabellonesPonce, PR 00730-3827 · (787) 843-4588
Organization SubpartNo
Authorized OfficialNahomie Ivette Veguilla RiveraPresidente · (787) 843-4588
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1053293233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Kidney Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Kidney Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1447715404
1203 AVE MUNOZ RIVERA
Ponce, PR 00717
(787) 843-4588
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Kidney Care LLC's NPI number?

The NPI number for South Kidney Care LLC is 1053293233. It was assigned to this organization in the NPPES registry on July 21, 2025.

Where is South Kidney Care LLC located?

South Kidney Care LLC is located at 1203 Ave Munoz Rivera, Ponce, PR 00717. The listed phone number is (787) 843-4588.

What is South Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is South Kidney Care LLC enrolled in Medicare?

Yes. South Kidney Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Kidney Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to South Kidney Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Kidney Care LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.