Organization Active NPI

Renaissance Rehab Clinic LLC

  • Chiropractor
  • Rio Grande City, TX
National Provider Identifier
1992089486
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10027 Issued in TX
Legal business name
RENAISSANCE REHAB CLINIC LLC
Practice address
5322 E US Highway 83 Ste 3C
Rio Grande City, TX 78582-9462
Phone
(956) 263-1054
Fax
(956) 682-1829
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Dr. Aaron R Guerra, D.C.
Title
Owner
Phone
(956) 263-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10027 TX Primary

Addresses

Primary practice location

5322 E US Highway 83 Ste 3C
Rio Grande City, TX 78582-9462

Mailing address

5322 E Hwy 83 Ste C-3
Rio Grande City, TX 78582-9426
Phone (956) 263-1054

National Provider Directory

National Provider Directory

Locations

5322 E US Highway 83
Ste C3
Rio Grande City, TX 78582
Phone (956) 263-1054

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1992089486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 E HWY 83 STE C-3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829426",
            "telephone_number": "956-263-1054",
            "fax_number": "956-682-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 E US HIGHWAY 83 STE 3C",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829462",
            "telephone_number": "956-263-1054",
            "fax_number": "956-682-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE REHAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-263-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.