Renaissance Medical Aesthetics

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

RENAISSANCE MEDICAL AESTHETICS

Practice address

11 Sandersdale Rd # 15
Southbridge, MA 01550-2855

Phone

(774) 371-4180

NPI assigned

Jul 15, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissette I Guzman

Title

Owner

Phone

(860) 912-8738

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1841182979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SANDERSDALE RD # 15",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502855",
            "telephone_number": "774-371-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SANDERSDALE RD # 15",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502855",
            "telephone_number": "774-371-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-912-8738"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Colello Reed, LCSW
• Reflections Behavioral Counseling
• Yasser Rehman, M.D.
• Tyler Reinhart, CC, RDN, LDN
• Paulette Remijan, APN-BC
• Renaissance Medical Group, LLC (Renaissance Medical Group)
• Renaissance Primary Care, LLC
• Tina Irene Render, M.D.
• Susan Renner, OT/R
• Erin Rhault

• Infusion Therapy Clinic/Center in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Infusion Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.