MEDICARE: NEFROKIDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0210X	Pediatric Nephrology Physician

General Provider Information

NPI Number	:	1912865940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEFROKIDS LLC

Provider Business Mailing Address
First Line	:	I16 CALLE COLLORES
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	I16 CALLE COLLORES
Second Line	:	COLINAS METROPOLITANAS
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5208
Country	:	US
Telephone Number	:	787-598-1722
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANICE CRESPO SALGADO
Credential	:
Telephone Number	:	787-598-1722

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “NEFROKIDS LLC ” Practice Location

Language	Start Address	Practice Location

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