Renaissance Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RENAISSANCE MEDICAL GROUP INC

Practice address

629 SW 4TH St
Cape Coral, FL 33991-1971

Phone

(239) 800-3028

Fax

(239) 599-4893

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Alfonso Garcia Bello, MD

Title

President

Phone

(239) 800-3028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1528645009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 SW 4TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911971",
            "telephone_number": "239-800-3028",
            "fax_number": "239-599-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SW 4TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911971",
            "telephone_number": "239-800-3028",
            "fax_number": "239-599-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA BELLO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-800-3028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Rehac, LMT
• Osama Abdur Rehman, M.D.
• Rafael F Reloba
• Remberto Lopez MD PA
• Remedy Pharmaceutical Inc.
• Renaissance Rejuvenating Medicine Inc
• Yasser Leonard Rengifo
• Rentas Advance Medical, LLC.
• Rentas Advance Medical, LLC.
• Michelle Rentas, MSN, APRN, FNP-BC

• Multi-Specialty Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.