Organization
RENAISSANCE MEDICAL GROUP PR CORPORATION
Active
Other names
Renaissance Medical Group PR
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE GUZMAN (EXECUTIVE DIRECTOR)
(774) 318-1400
Entity
Organization
Contact information
Practice address
406 COCO BEACH BLVD APT D402, RIO GRANDE, PR 00745-4020
(774) 420-2311
(508) 462-0287
Mailing address
11-15 SANDERSDALE ROAD, SOUTHBRIDGE, MA 01550-2855
(774) 318-1400
(508) 462-0287
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/04/2024
Last updated
07/15/2025
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