Provider Demographics
NPI:1811788466
Name:PALM BEACH DIALYSIS CENTER
Entity type:Organization
Organization Name:PALM BEACH DIALYSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-410-5789
Mailing Address - Street 1:6400 HYPOLUXO RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7320
Mailing Address - Country:US
Mailing Address - Phone:561-619-8472
Mailing Address - Fax:888-883-8559
Practice Address - Street 1:6400 HYPOLUXO RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7320
Practice Address - Country:US
Practice Address - Phone:561-619-8472
Practice Address - Fax:888-883-8559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health