Healthcare Provider Details
I. General information
NPI: 1740267483
Provider Name (Legal Business Name): DIALYSIS OPTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2005
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13500 N KENDALL DR SUITE 131
MIAMI FL
33186-1515
US
IV. Provider business mailing address
13500 N KENDALL DR SUITE 131
MIAMI FL
33186-1515
US
V. Phone/Fax
- Phone: 305-388-5222
- Fax: 305-388-5660
- Phone: 305-388-5222
- Fax: 305-388-5660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0700X |
| Taxonomy | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCISCO
PONS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-388-5222