Organization Active NPI

Rene Casanova Medical Office, Inc

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1629481809
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME78770 Issued in FL
Legal business name
RENE CASANOVA MEDICAL OFFICE, INC
Practice address
1881 N University Dr Ste 104
Coral Springs, FL 33071-6093
Phone
(954) 516-0070
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Rene Casanova, M.D.NPI 1689646440
Title
Medical Director
Phone
(954) 202-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME78770 FL Primary

Addresses

Primary practice location

1881 N University Dr Ste 104
Coral Springs, FL 33071-6093

Mailing address

1881 N University Dr Ste 104
Coral Springs, FL 33071-6093
Phone (954) 516-0070

Other identifiers 1

IdentifierTypeStateIssuer
264910101MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100408000510 FL Part B Supplier - Clinic/Group Practice 4284760794 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Coral Springs, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1881 N University Dr
Ste 104
Coral Springs, FL 33071
Phone (954) 340-0888

1655 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (305) 554-5627

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1629481809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716093",
            "telephone_number": "954-516-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716093",
            "telephone_number": "954-516-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE CASANOVA MEDICAL OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-202-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264910101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.