# RENEWCARE MOBILE WOUND SPECIALIST LLC

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

## Provider details

- **NPI number:** 1659244085
- **Authorized official:** REYNALDO DELA CRUZ (OWNER)
- **Authorized official phone:** (520) 614-6665

## Contact information

- **Practice address:** 263 BAY RIDGE DR, DALY CITY, CA 94014-1570
- **Practice address phone:** (520) 614-6665
- **Mailing address:** 263 BAY RIDGE DR, DALY CITY, CA 94014-1570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/23/2025
- **Last updated:** 09/23/2025