Healthcare Provider Details

I. General information

NPI: 1912865940
Provider Name (Legal Business Name): NEFROKIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

I16 CALLE COLLORES COLINAS METROPOLITANAS
GUAYNABO PR
00969-5208
US

IV. Provider business mailing address

I16 CALLE COLLORES
GUAYNABO PR
00969-5208
US

V. Phone/Fax

Practice location:
  • Phone: 787-598-1722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: JANICE CRESPO SALGADO
Title or Position: PRESIDENT
Credential:
Phone: 787-598-1722