Renee M Mino

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

3676 Parker Blvd
Ste. 110
Pueblo, CO 81008-2212

Phone

(719) 253-7102

Fax

(719) 253-7114

NPI assigned

Feb 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee M Holmes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pueblo Bone and Joint Clinic LLC

  • Orthopaedic Surgery Physician
  • Pueblo, CO
  • NPI 1568534642
  NPD (past)

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1972843514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "STE. 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "STE. 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINO",
        "first_name": "RENEE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "HOLMES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth M. Miller, MA
• Teah Miller
• Valarie V. Mills, CNS
• Jayci Miltenberger
• Todd Minerich, RN
• Miracle-Ear, Inc.
• Daniel Mirshamsi, APN
• Hannah Mirzakhani, DO
• Austin Ray Mitchell, DO
• Courtney Mitchell

• Other Technician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Other Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.