Renaissance Medical Foundation

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

781566 Issued in TX

Legal business name

RENAISSANCE MEDICAL FOUNDATION

Practice address

5502 S McColl Rd
Edinburg, TX 78539-8747

Phone

(956) 362-2171

Fax

(956) 362-2132

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By 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

Ada X Gonzalez

Title

Administrator

Phone

(956) 362-2171

Specialties & licenses 1

Addresses

Tax ID family

Renaissance Medical Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renaissance Medical Foundation

  • Rural Health Clinic/Center
  • Rio Grande City, TX
  • NPI 1477463073
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto A Ayres, M.D.

  • Pediatric Pulmonology Physician
  • Edinburg, TX
  • NPI 1053312009
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1457770687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398747",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398747",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-362-2171"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "781566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Endocrinology
• Renaissance Gastroenterology
• Renaissance Hospice and Palliative Care, LLC (DHR Health Hospice)
• Renaissance Hospitalists
• Renaissance ICU Group
• Renaissance Medical Foundation
• Renaissance Primary Care
• Renaissance Providers
• Renaissance Radiation Oncology
• Renaissance Radiology Associates PLLC

• Women's Health Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.