Nephrology · Girona

Caring for the kidney is
investing in quality of life.

Dr. Jorge Mario Alfonzo Juliá, consultant nephrologist in Girona. Worried about a high creatinine, urine infections that keep coming back, blood pressure that's hard to control or kidney stones? I'll help you make sense of it and set out a clear plan, with scientific rigour and a close, personal approach.

10years in medicine
6hospital centres
9publications & abstracts
Dr. Jorge Mario Alfonzo Juliá, nephrologist at Grup Clínica Girona JA

01 — About

Renal medicine with rigour and closeness

Consultant in Nephrology, practising in Girona. Dedicated to the diagnosis, treatment and follow-up of kidney conditions. The consultation ranges from the most common reasons —raised creatinine, kidney stones, urinary tract infections and hypertension— to the comprehensive care of chronic kidney disease at every stage.

Clinical practice is grounded in the latest scientific evidence, prioritising clear communication and the consultation time each patient needs. Services include the metabolic work-up of kidney stones, blood-pressure monitoring and the issuing of second opinions with a clinical report for the referring doctor. Available to private patients and to members of the main health insurers.

  • SpecialtyNephrology
  • TrainingResidency · MSc in Haemodialysis
  • LocationGirona
  • LanguagesSpanish · English

02 — Areas of expertise

What I treat

01

High creatinine & kidney function

Assessment of a raised creatinine or low filtration rate: why it happens, whether it's reversible and how to protect the kidney.

02

Recurrent urine infections

When urinary infections keep coming back or affect the kidney: causes, treatment and prevention.

03

Kidney stones

Metabolic work-up of the cause of stones for prevention tailored to you.

04

Arterial hypertension

Managing hard-to-control blood pressure, with ambulatory monitoring (ABPM) when needed.

05

Chronic kidney disease

Diagnosis and follow-up to slow progression across all stages.

06

Haemodialysis & vascular access

Hospital experience in renal replacement therapy and vascular access management.

03 — Your first visit

What to expect at the clinic

To make the first visit as useful as possible, here is what to know and to bring.

What to bring

  • Previous medical and discharge reports.
  • Recent blood and urine tests.
  • Imaging studies (ultrasound, CT) if you have them.
  • A list of your current medication.
  • Your ID and, if applicable, your insurance card.

How it will go

  • We'll review your medical history and symptoms.
  • Physical examination and review of your tests.
  • A clear plan: diagnosis, treatment and next steps.
  • Time for your questions and concerns.

04 — The clinic

Where I see patients

  • CentreGrup Clínica Girona
    Carrer Barcelona, 206 · 17005 Girona
  • ConsultationNephrology · 2nd floor, Module C
  • Direct line+34 972 487 092
  • Switchboard+34 972 010 300
  • By appointmentVisits by prior appointment

From organ to cell

Nephrology, in detail

Anatomical illustration of the kidney and the glomerulus
The kidney: an organ that does far more than make urine. It filters the blood and removes toxins and excess fluid, but it also regulates blood pressure, keeps the balance of salts and minerals (sodium, potassium, calcium, phosphorus), controls the body's pH and produces hormones that stimulate red-blood-cell formation and activate vitamin D. The glomerulus is its microscopic filtering unit. (Illustration labelled in Spanish.)

05 — Career

Professional experience

  1. Oct 2024 — Present

    Nephrologist

    Grup Clínica Girona · Girona

    Direct patient care · Clinical nephrology

  2. Sep 2020 — Sep 2024

    Nephrology Resident (Registrar)

    Consorci Sanitari de Terrassa · Barcelona

    Specialty training in Nephrology

  3. Nov 2019 — Sep 2020

    Emergency Physician

    Quirónsalud · Barcelona

  4. Feb 2019 — Oct 2019

    Physician

    Serveis Mèdics Penedès · Barcelona

  5. Sep 2016 — Jul 2017

    Internal Medicine Resident

    Manuel Fajardo University Hospital · Havana

06 — Training & credentials

From medical school to specialty

2010 — 2016

Doctor of Medicine · General Medicine

University of Medical Sciences of Havana

2020 — 2024

Specialist in Nephrology · Residency

National residency exam and training at Consorci Sanitari de Terrassa, Barcelona

Postgraduate

MSc in Haemodialysis

Complutense University of Madrid

Certifications

  • Acute Kidney InjuryInternational Society of Nephrology · 2021
  • International Nephrology Training CurriculumInternational Society of Nephrology · 2021
  • Mechanical Ventilation for COVID-19Harvard University · 2020

Scientific societies

  • Spanish Society of NephrologyMember
  • International Society of NephrologyAffiliate
  • European Renal Association (ERA-EDTA)Affiliate

Languages

  • Spanish Native
  • English Professional proficiency

Interests

  • Nephrology
  • Kidney disease
  • Hypertension

07 — Research

Publications & abstracts

View ORCID record
  1. 2025
  2. 2025
  3. 2021

    Relationship between obesity and COVID-19

    Revista Cubana de Medicina · Article

  4. 2023

    Renal biopsy and safety: results of a clinical protocol in a hospital centre

    53rd Congress of the Spanish Society of Nephrology · Poster

  5. 2023

    Electronic consultations could avoid most referrals to nephrology

    53rd Congress of the Spanish Society of Nephrology · Poster

  6. 2023

    Lights and shadows in prescribing online haemodiafiltration in daily practice

    53rd Congress of the Spanish Society of Nephrology · Poster

  7. 2023

    A scheduled cannulation map for prosthetic haemodialysis vascular access

    39th Annual Meeting · Catalan Society of Nephrology

  8. 2022

    Drug-induced bone marrow toxicity in a haemodialysis patient

    38th Annual Meeting · Catalan Society of Nephrology · Poster

08 — Frequently asked questions

Common questions

What does having high creatinine mean?

Creatinine is a blood-test value that reflects how the kidney is working. A raised creatinine —or a low glomerular filtration rate— may be due to passing causes (dehydration, certain medicines) or point to a kidney problem worth investigating. In clinic we assess the cause, whether it is acute or chronic, and what to do to protect kidney function.

When should I see a nephrologist?

It's worth consulting if your blood tests show reduced kidney function (creatinine or glomerular filtration rate) or protein in the urine, if you have hard-to-control high blood pressure, known kidney disease, recurrent kidney stones, or if your GP refers you. For people with diabetes, hypertension or a family history, a regular check-up helps catch problems early.

What should I bring to the first visit?

Previous medical reports, recent blood and urine tests, imaging studies if you have them, a list of your current medication and your ID (and your insurance card if applicable). The more information, the more complete the assessment.

Does having kidney disease mean I'll end up on dialysis?

Not necessarily. Most people with chronic kidney disease never need dialysis. With early diagnosis and the right treatment, progression can be slowed for many years. Renal replacement therapy is only needed in very advanced stages.

Can kidney disease be prevented?

To a large extent, yes. Controlling blood pressure and glucose, cutting salt, staying well hydrated, avoiding tobacco and using anti-inflammatories carefully all protect the kidneys. For people at risk, an annual blood test helps get ahead of the problem.

Do you work with health insurance?

Consultations are private and also with the main health insurers. You can check the companies the clinic works with on the Clínica Girona insurers page, or ask when booking your appointment.

09 — Blog

Kidney health, explained

Articles on kidney health, hypertension and haemodialysis, written for patients, families and professionals.

See all articles ↗

10 — Contact

Shall we talk about your kidney health?

Nephrology consultation at Grup Clínica Girona. Write to me to assess your case, request a second opinion or arrange follow-up.

Grup Clínica GironaGironaSpain
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