SOUTHEAST RENAL GROUP PSC
NPI 1821413527
Internal Medicine - Nephrology in Santa Isabel, PR

Q: What is Southeast Renal Group Psc's NPI number?

The NPI number for Southeast Renal Group Psc is 1821413527. It was assigned to this organization in the NPPES registry on March 4, 2014.

Q: What is Southeast Renal Group Psc's specialty?

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

Active since March 04, 2014

SANTA ISABEL PROFESSIONAL BLDG, SUITE 205, SANTA ISABEL, PR 00757(787) 971-7133 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2017, Feb 23, 2017 (2 updates tracked since 2017).

On this page

About Southeast Renal Group Psc NPPES

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

SOUTHEAST RENAL GROUP PSC (NPI 1821413527) is a healthcare organization registered as a nephrology in Santa Isabel, Puerto Rico and active in the NPI registry since March 2014. The organization lists Luis A Ortiz Heredia, President, as its authorized official.

NPPES Registry Identity

NPI1821413527

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameSOUTHEAST RENAL GROUP PSC

Location AddressSANTA ISABEL PROFESSIONAL BLDG, SUITE 205Santa Isabel, PR 00757

Mailing AddressPo Box 335432Ponce, PR 00733-5432 · (787) 971-7133

Phone(787) 971-7133

Organization SubpartNo

Authorized OfficialLuis A Ortiz HerediaPresident · (787) 971-7133

Enumeration DateMarch 4, 2014

Last NPPES UpdateMarch 21, 20172 updates tracked since enumeration

✔ NPI 1821413527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

SANTA ISABEL PROFESSIONAL BLDG, Santa Isabel, PR 00757

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Southeast Renal Group Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southeast Renal Group Psc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Luis Ortiz Heredia

General Practice

NPI 1083810162

CARIBBEAN MEDICAL CENTER PONCE BY PASS 2275 SUITE 202
Ponce, PR 00717

(787) 840-1455

✔ PECOS✔ Accepts Medicare15 mi

Felix Perez Ramos, MD

Nephrology

NPI 1861641672

2225 PONCE BYPASS EDIFICIO PARRA SUITE 908
Ponce, PR 00717

(787) 812-0700

✔ PECOS✔ Accepts Medicare16 mi

Orlando Camacho-Geck, MD

Nephrology

NPI 1659684819

SANTA ISABEL PROFESSIONAL BUILDING SUITE 205
Santa Isabel, PR 00757

(787) 971-7133

✔ PECOS✔ Accepts Medicare

Javier Sevilla Rodriguez, MD

Nephrology

NPI 1982251336

SANTA ISABEL PROFESSIONAL BUILDING SUITE 205
Santa Isabel, PR 00757

(787) 971-7134

✔ PECOS✔ Accepts Medicare

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 Southeast Renal Group Psc's NPI number?

The NPI number for Southeast Renal Group Psc is 1821413527. It was assigned to this organization in the NPPES registry on March 4, 2014.

Where is Southeast Renal Group Psc located?

Southeast Renal Group Psc is located at Santa Isabel Professional Bldg Suite 205, Santa Isabel, PR 00757. The listed phone number is (787) 971-7133.

What is Southeast Renal Group Psc's specialty?

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

Is Southeast Renal Group Psc enrolled in Medicare?

Yes. Southeast Renal Group Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Renal Group Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Renal Group 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. The largest specialties are Nephrology (3) and General Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Renal Group Psc was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.