Organization Active NPI

Renova Telemed

  • General Practice Physician
  • Canovanas, PR
National Provider Identifier
1669303459
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RENOVA TELEMED
Practice address
Barrio Torrecilla Alta Calle 5 #112 Sector Villa Santa
Canovanas, PR 00729
Phone
(352) 657-4058
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Danelis Priscilla Ayala Carrasquillo, MDNPI 1831842145
Title
Owner
Phone
(787) 225-0890

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Barrio Torrecilla Alta Calle 5 #112 Sector Villa Santa
Canovanas, PR 00729

Mailing address

7380 SW 60TH St
Ocala, FL 34474-2054
Phone (352) 657-4058

National Provider Directory

National Provider Directory

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": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1669303459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SW 60TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742054",
            "telephone_number": "352-657-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO TORRECILLA ALTA CALLE 5 #112 SECTOR VILLA SANTA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "352-657-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA TELEMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "AYALA CARRASQUILLO",
        "authorized_official_first_name": "DANELIS",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-225-0890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.