Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Renal Group PSC

Organization Clinical Psychologist · NPI 1821413527

Southeast Renal Group PSC is a Clinical Psychologist in Santa Isabel, Puerto Rico. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Santa Isabel Professional Bldg Ste 205
Santa Isabel, PR 00757
Phone: (787) 971-7133

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Clinical Psychologist Taxonomy 103TC0700X
Nutritionist Taxonomy 133N00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1821413527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Ortiz Heredia — President · (787) 971-7133
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 21, 2017
Mailing addressPo Box 335432, Ponce, PR 00733-5432

Other providers in Santa Isabel