OrganizationActive
MD Renal Group LLC
NPI 1043595291 · Exclusive Provider Organization · Aguadilla, PR
Provider details
- NPI number
- 1043595291
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mayra Santiago, Administrative Chief Officer(939) 639-0557
- License
- 17129 (PR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Avenue Severiano Cuevas 18
Hospital Buen Samaritano Ground Floor
Aguadilla, PR 00605-9026
Phone: (787) 997-0101
Street-level locationGet directions
Mailing address
Po Box 667
Moca, PR 00676-0667
Other names (DBA / former)
- Former legal business name
- MD Renal Group LLC
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.