Renaissance Medical Group PR Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RENAISSANCE MEDICAL GROUP PR CORPORATION

Practice address

406 Coco Beach Blvd Apt D402
Rio Grande, PR 00745-4020

Phone

(774) 420-2311

Fax

(508) 462-0287

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Lissette Guzman

Title

Executive Director

Phone

(774) 318-1400

Specialties & licenses 2

Addresses

Other names 1

• Renaissance Medical Group PR Other name

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1093534356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE ROAD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502855",
            "telephone_number": "774-318-1400",
            "fax_number": "508-462-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 COCO BEACH BLVD APT D402",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007454020",
            "telephone_number": "774-420-2311",
            "fax_number": "508-462-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL GROUP PR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "774-318-1400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Medical Group PR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paola Nicole Pratts Navarro
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• Carmen Haydee Resto, SLP
• Edmundo Rafael Reyes, M.D.
• RG Dental PSC
• RG Prosthetics MFG. Corp
• Rio Grande Diagnostic CSP

• Home Health Agency in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Home Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.