Organization Active NPI

Renaissance Medical Foundation

  • Internal Medicine Physician
  • Edinburg, TX
National Provider Identifier
1467633867
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RENAISSANCE MEDICAL FOUNDATION
Practice address
5501 S McColl Rd
Edinburg, TX 78539-9152
Phone
(956) 362-3300
Fax
(956) 362-7684
NPI assigned
Nov 14, 2007
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Mrs. Ada X Gonzalez
Title
Administrator
Phone
(956) 362-2171

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU
Otolaryngology Physician 207Y00000X NU
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Audiologist 231H00000X NU

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539-9152

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, CO, CA, HI, AZ, WA, VA, NV, PR, WI, NJ, FL, MD, GA, DC, PA, KY, MN, TN, MI, DE, MA, IL, KS, NY26 enrollments

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
O20080422000326 TX Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 235 practitioners
O20241007000481 OK Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Nichols Hills, OK; Oklahoma City, OK
O20241008000419 CO Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20241010003605 CA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 6 practitioners
Practice locations: Newport Coast, CA; San Luis Obispo, CA; San Jose, CA; San Diego, CA; Mission Viejo, CA; Irvine, CA
O20241011001107 HI Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Kaneohe, HI; Kihei, HI; Princeville, HI
O20241011003889 AZ Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 3 practitioners
Practice locations: Goodyear, AZ; Phoenix, AZ; Scottsdale, AZ
O20241017003538 WA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Camas, WA; Kenmore, WA
O20241021003236 VA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsburg, VA; Leesburg, VA; Ashburn, VA; Hillsboro, VA
O20241024001712 NV Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20241024003210 PR Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20241104001914 WI Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, WI
O20241109000439 NJ Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Hoboken, NJ; Hamilton, NJ
O20241115004280 FL Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 4 practitioners
Practice locations: Lantana, FL; Oviedo, FL; Windermere, FL
O20241120003906 MD Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD
O20241122001567 GA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA
O20241125001747 DC Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA
O20241226001666 PA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Girard, PA
O20250102001259 KY Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20250106003722 MN Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Edina, MN; Plymouth, MN
O20250205003985 TN Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN
O20250402000698 MI Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 4 practitioners
Practice locations: Ortonville, MI; Rochester, MI; Grand Rapids, MI; Ferndale, MI
O20250618000590 DE Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, DE
O20250716001596 MA Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 2 practitioners
Practice locations: Acton, MA; Hopkinton, MA; Worcester, MA
O20250808001606 IL Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Burr Ridge, IL; Lombard, IL
O20260424001591 KS Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20260508002593 NY Part B Supplier - Clinic/Group Practice 1153409867 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 42)

4770 N Expressway
Ste 101
Brownsville, TX 78526
Phone (956) 362-3980

4770 N Expressway
Ste 202
Brownsville, TX 78526
Phone (956) 362-3715

4770 N Expressway 77 83
Ste 303
Brownsville, TX 78526
Phone (956) 362-3715

1506 S Lone Star Way
Ste 3
Edinburg, TX 78539
Phone (956) 362-2400

1601 E Sprague St
Edinburg, TX 78542
Phone (956) 362-8383

2717 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 217-7050

2717 W Michaelangelo Dr
Ste 303
Edinburg, TX 78539
Phone (956) 362-2465

2821 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-8215

2821 W Michaelangelo Dr
Ste 203
Edinburg, TX 78539
Phone (956) 362-2517

2821 W Michaelangelo Dr
Ste 301
Edinburg, TX 78539
Phone (956) 362-2429

2821 W Michaelangelo Dr
Ste 303A
Edinburg, TX 78539
Phone (956) 362-2490

2821 W Michaelangelo Dr
Ste 305
Edinburg, TX 78539
Phone (956) 362-8100

2821 W Michaelangelo Dr
Ste 306
Edinburg, TX 78539
Phone (956) 362-2440

5119 S McColl Rd
Edinburg, TX 78539
Phone (956) 661-9490

520 S Closner Blvd
Edinburg, TX 78539
Phone (956) 362-8560

5321 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3501

5502 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-2229

5510 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-2890

5511 Doctors Dr
Edinburg, TX 78539
Phone (956) 412-0055

5525 Doctors Dr
Edinburg, TX 78539
Phone (956) 362-8740

5525 Doctors Dr
Ste A
Edinburg, TX 78539
Phone (956) 362-2075

5525 Doctors Dr
Ste B
Edinburg, TX 78539
Phone (956) 362-2075

510 Victoria Ln
Ste 5
Harlingen, TX 78550
Phone (956) 428-4221

1000 E Dove Ave
McAllen, TX 78504
Phone (956) 362-3520

1000 E Dove Ave
Ste 200
McAllen, TX 78504
Phone (956) 362-3520

Practitioners & affiliated clinicians

Practitioners 398

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.

View all 398

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1467633867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399152",
            "telephone_number": "956-362-3300",
            "fax_number": "956-362-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.