Active NPI
Renova Telemed
- General Practice Physician
- Canovanas, PR
National Provider Identifier
1669303459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danelis Priscilla Ayala Carrasquillo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Ocala, FL
- NPI 1831842145
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1003787524
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.