RENALIFE, PSC
NPI 1083964357
Internal Medicine - Nephrology in San Juan, PR
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renalife, Psc 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 Renalife, Psc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Renalife, Psc enrolled in Medicare?
Yes. Renalife, Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renalife, Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Renalife, Psc. 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 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.
# Renalife, Psc · NPI 1083964357
Nephrology organization in San Juan, Puerto Rico. Organization record, active in the CMS NPPES registry since September 14, 2012.
## Identity
- **NPI:** 1083964357 (Entity type: Organization)
- **Enumerated:** September 14, 2012
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Glenda Miranda Tirado, PRESIDENT
## Practice location
- **Address:** HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON PDA 37 1/2, San Juan, PR 00919
- **Phone:** (787) 458-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083964357) · Data from the CMS NPPES public registry.