Renova Rehabilitation Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00013398 Issued in PR

Legal business name

RENOVA REHABILITATION INC

Practice address

10 Calle Willie Rosario Ste B
Coamo, PR 00769-3217

Phone

(787) 803-1622

Fax

(787) 803-1622

NPI assigned

Jul 11, 2008

Last updated

Aug 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Gomez

Title

President

Phone

(787) 596-1368

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1013171719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE WILLIE ROSARIO STE B",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693217",
            "telephone_number": "787-803-1622",
            "fax_number": "787-803-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE WILLIE ROSARIO STE B",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693217",
            "telephone_number": "787-803-1622",
            "fax_number": "787-803-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-596-1368"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "00013398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Quinones Rodriguez
• Leonel Ramirez I, MSW
• Ramon Antonio Solivan Miranda (Laboratorio Clinico Soram)
• Rdo Digitec LLC
• Renacer Ambulance, NC
• Hector Renta, D.M.D.
• Maura Antonella Reyes Gierbolini
• Roberto Reyes Rodriguez, M.D.
• Elynoel Reyes Torres, SOCIAL WORK
• Camille Milagros Rios Ortiz, FNP

• Durable Medical Equipment & Medical Supplies in Coamo, PR
• Providers in Coamo, PR by specialty
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.