# INNOVANCE PULMONARY GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INNOVANCE PULMONARY GROUP, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548986219
- **Authorized official:** DR. REINALDO GONZALEZ MARTINEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 645-1662

## Contact information

- **Practice address:** 68 CALLE SANTA CRUZ, EDIF TORRES SAN PABLO OFIC 303, BAYAMON, PR 00961
- **Practice address phone:** (787) 785-3923
- **Practice address fax:** (787) 780-4872
- **Mailing address:** 276 CALLE JILGUERO, SAN JUAN, PR 00926-7109
- **Mailing address phone:** (787) 785-3923
- **Mailing address fax:** (787) 780-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022