# JR RENAISSANCE HEALTH SERVICES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184357972
- **Authorized official:** RENE GONZALEZ GARCIA MD (MD CEO)
- **Authorized official phone:** (928) 293-5999

## Contact information

- **Practice address:** 1957 HWAY 95 STE 23, BULLHEAD CITY, AZ 86442-6744
- **Practice address phone:** (928) 234-3834
- **Mailing address:** PO BOX 90182, HENDERSON, NV 89009-0182
- **Mailing address phone:** (928) 234-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 03/02/2023