Jr Renaissance Health Services, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JR RENAISSANCE HEALTH SERVICES, PLLC

Practice address

1957 Hway 95 Ste 23
Bullhead City, AZ 86442-6744

Phone

(928) 234-3834

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Rene Gonzalez Garcia, MDNPI 1639269913

Title

MD Ceo

Phone

(928) 293-5999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Gonzalez Garcia, MD

  • General Practice Physician
  • Bullhead City, AZ
  • NPI 1639269913

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1184357972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90182",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890090182",
            "telephone_number": "928-234-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 HWAY 95 STE 23",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426744",
            "telephone_number": "928-234-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR RENAISSANCE HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GARCIA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "MD CEO",
        "authorized_official_telephone_number": "928-293-5999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Jones, CNA
• Laree Ann Jones, MASTER SOCIAL WORKER
• Danielle Jordan
• Joshua Springs Operations LLC
• Jr Renaissance Health Services
• Just for Kids Dental Group Bullhead, PLLC (Just For Kids Dentistry)
• Just for Kids Dentistry Bullhead, PLLC
• Ammar Kafa, M.D.
• Michael David Kantor, DDS
• Larry Joseph Keating, PAC

• Family Medicine Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.