Provider Demographics
NPI:1598740524
Name:KIDNEY TREATMENT AND HYPERTENSION ASSOCIATES PA
Entity Type:Organization
Organization Name:KIDNEY TREATMENT AND HYPERTENSION ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-388-5222
Mailing Address - Street 1:13500 N KENDALL DR
Mailing Address - Street 2:SUITE 131
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1515
Mailing Address - Country:US
Mailing Address - Phone:305-388-5222
Mailing Address - Fax:305-388-5660
Practice Address - Street 1:13500 N KENDALL DR
Practice Address - Street 2:SUITE 131
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1515
Practice Address - Country:US
Practice Address - Phone:305-388-5222
Practice Address - Fax:305-388-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47045207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271036600Medicaid
FL271036600Medicaid