Renacer LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RENACER LLC

Practice address

Bo. Rosario Bajo 3 Calle Aurora Arroyo
San German, PR 00683

Phone

(787) 988-5100

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Alerys M De Jesus RodriguezNPI 1982283305

Title

President

Phone

(787) 988-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Alerys Marie De Jesus Rodriguez

  • Clinical Psychologist
  • San German, PR
  • NPI 1982283305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1306416888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334421",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007334421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ROSARIO BAJO 3 CALLE AURORA ARROYO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-988-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENACER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "DE JESUS RODRIGUEZ",
        "authorized_official_first_name": "ALERYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-988-5100"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristal Rosuan Reyes Sanchez
• Maria Eugenia Rios-Enriquez, MD
• Jesus E Rivera Baez, MD
• Ambar Gerianna Rivera Castillo, CD/PCD(DONA)

• Clinical Psychologist in San German, PR
• Providers in San German, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.