Renova Corp. CSP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

17029 Issued in PR

Legal business name

RENOVA CORP. CSP

Practice address

Carr 2 KM 141.1 Ave Severeano Cuevas #18
Western Medical Plaza 1St Floor Suite # 24
Aguadilla, PR 00605

Phone

(787) 412-7009

Fax

(787) 919-0644

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Janice Marie Rodriguez, MD

Title

Medical Director

Phone

(787) 412-7009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1043679236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 141.1 AVE SEVEREANO CUEVAS #18",
            "address_2": "WESTERN MEDICAL PLAZA 1ST FLOOR SUITE 24 AGUADILLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-412-7009",
            "fax_number": "787-919-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 141.1 AVE SEVEREANO CUEVAS #18",
            "address_2": "WESTERN MEDICAL PLAZA 1ST FLOOR SUITE # 24",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-412-7009",
            "fax_number": "787-919-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA CORP. CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-412-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "17029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Ramos, TS
• Johanna M Ramos, MT
• RC Internal Medicine PSC
• Johana Recart, M.D.
• Fernando Luis Regis-Bonilla Jr., M.D.
• Patricia Repollet Otero
• Leysha Reyes Placencia, MD
• Carolina Reynols, RPH
• Ricardo E Bonilla Cortes
• Ricardo E Santiago Montalvo C S P

• Medical Specialty Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.