OrganizationActive
Departamento De Salud Oficial
NPI 1023169034 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rio Piedras, PR
Provider details
- NPI number
- 1023169034
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gisselle Van Derdys, Executive Director(787) 474-0333
- License
- 34CNC NUM92-168 (PR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
University Pediatric Hospital
Carr 22 Bo Monacillo
Rio Piedras, PR 00935
Phone: (787) 777-3232
Fax: (787) 756-8907
Mailing address
Po Box 191079
San Juan, PR 00919-1079
Other names (DBA / former)
- Doing business as
- Pediatric Renal Center, University Pediatric Hospital
- Doing business as
- Pediatric Renal Center, University Pediatric Hospital
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.