Organization
RENAISSANCE MEDICAL GROUP, LLC
Active
Other names
Renaissance Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS D SUAREZ (OWNER/ CEO)
(774) 420-2311
Entity
Organization
Contact information
Practice address
11-15 SANDERSDALE ROAD, SOUTHBRIDGE, MA 01550-2855
(774) 420-2311
(508) 519-0763
Mailing address
11-15 SANDERSDALE ROAD, SOUTHBRIDGE, MA 01550-2855
(774) 420-2311
(508) 519-0763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
333600000X
Pharmacy
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up