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RENALIFE, PSC
NPI 1083964357
Internal Medicine - Nephrology in San Juan, PR

Active since September 14, 2012
HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON PDA 37 1/2, SAN JUAN, PR 00919(787) 458-2000 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renalife, Psc NPPES

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

RENALIFE, PSC (NPI 1083964357) is a healthcare organization registered as a nephrology in San Juan, Puerto Rico and active in the NPI registry since September 2012. The organization maintains a secondary practice location in San Juan and lists Glenda Michelle Miranda Tirado, President, as its authorized official.

NPPES Registry Identity

NPI1083964357
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENALIFE, PSC
Location AddressHOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON PDA 37 1/2San Juan, PR 00919
Mailing AddressPo Box 1947Caguas, PR 00726-1947 · (787) 224-0499 · Fax (787) 687-7639
Phone(787) 458-2000
Organization SubpartNo
Authorized OfficialGlenda Michelle Miranda TiradoPresident · (787) 224-0499
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1083964357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 17265
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.

Secondary Practice Location 1

Location 1313 AVE. DOMENECH, 101SAN JUAN, PR 00918 · Phone (787) 763-7423 · Fax (787) 687-7639

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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUIS J SANTIAGO COLON MD
General Practice
HOSPITAL AUXILIO MUTUO, AVE JUAN PONCE DE LEON
SAN JUAN, PR 00919
San Juan Municipio (787) 758-2000
DR. ALEXIS MANUEL CRUZ-CHACON MD
Internal Medicine (Hematology & Oncology)
HOSPITAL AUXILIO MUTUO, 715 PONCE DE LEON PDA 37 1/2
SAN JUAN, PR 00919
San Juan Municipio (787) 758-2000
MR. CARMELO SANTANA-LOPEZ M.D.
Internal Medicine (Infectious Disease)
HOSPITAL AUXILIO MUTUO, AVE JUAN PONCE DE LEON PARADA 37 1/2
HATO REY, PR 00919
San Juan Municipio (787) 758-2000
GLENDA MICHELLE MIRANDA TIRADO M. D.
Internal Medicine (Nephrology)
HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON PDA 37 1/2
SAN JUAN, PR 00919
San Juan Municipio (787) 758-2000
DR. JORGE CARLOS SUAREZ COLON M.D.
General Practice
HOSPITAL AUXILIO MUTUO, AVE. PONCE DE LEON PARADA 37
SAN JUAN, PR 00919
San Juan Municipio (787) 469-5828
JRG MEDICAL SERVICES LLC
Internal Medicine
HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON
SAN JUAN, PR 00919
San Juan Municipio (787) 455-1433
PURE LIFE RENAL OF SAN JUAN, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
HOSPITAL AUXILIO MUTUO, 37.5 AVE PONCE DE LEON #725
SAN JUAN, PR 00919
San Juan Municipio (954) 962-5733
JOSE CARLOS SANCHEZ-MONTIJO MD
Internal Medicine
HOSPITAL AUXILIO MUTUO
SAN JUAN, PR 00919
San Juan Municipio (787) 758-2000

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 Renalife, Psc's NPI number?

The NPI number for Renalife, Psc is 1083964357. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Renalife, Psc located?

Renalife, Psc is located at Hospital Auxilio Mutuo Ave Ponce De Leon Pda 37 1/2, San Juan, PR 00919. The listed phone number is (787) 458-2000.

What is Renalife, Psc's specialty?

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

When was this NPI record last updated?

The NPPES record for Renalife, Psc was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.