Organization
RENOVA REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL GOMEZ (PRESIDENT)
(787) 596-1368
Entity
Organization
Contact information
Practice address
10 CALLE WILLIE ROSARIO STE B, COAMO, PR 00769-3217
(787) 803-1622
(787) 803-1622
Mailing address
10 CALLE WILLIE ROSARIO STE B, COAMO, PR 00769-3217
(787) 803-1622
(787) 803-1622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00013398
PR
Other
Enumeration date
07/11/2008
Last updated
08/14/2009
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