Healthcare Provider Details

I. General information

NPI: 1982830956
Provider Name (Legal Business Name): ADVANCED RENAL CARE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 AV HOSTOS MEDICAL EMPORIUM II SUITE A-3
MAYAGUEZ PR
00680-1535
US

IV. Provider business mailing address

349 AV HOSTOS MEDICAL EMPORIUM II SUITE A-3
MAYAGUEZ PR
00680-1535
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-2785
  • Fax: 787-806-2239
Mailing address:
  • Phone: 787-834-2785
  • Fax: 787-806-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number16554
License Number StatePR

VIII. Authorized Official

Name: DR. WILLIAM O HURTADO
Title or Position: PHYSICIAN/CEO
Credential: MD
Phone: 787-677-7885