Healthcare Provider Details

I. General information

NPI: 1902712995
Provider Name (Legal Business Name): NEFRO SALUD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HERNANDEZ CARRION ST MANATI PROFESSIONAL PLAZA SUITE 41
MANATI PR
00674
US

IV. Provider business mailing address

2006 EL DORADO CLB
VEGA ALTA PR
00692-8845
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-4120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: BORRERO ARVELO ALEXANDER
Title or Position: PRESIDENT
Credential: MD
Phone: 787-854-4120