=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275402380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEFRO VIDA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2025
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 302 TORRE SAN CRISTOBAL STE 302
-----------------------------------------------------
City | COTO LAUREL
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00780-2849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-259-1934
-----------------------------------------------------
Fax | 787-840-7734
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 800274
-----------------------------------------------------
City | COTO LAUREL
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00780-0274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-259-1934
-----------------------------------------------------
Fax | 787-840-7734
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. ALEXANDRA ROSARIO AULET
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 787-259-1934
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------