Organization
RENOVA TELEMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANELIS PRISCILLA AYALA CARRASQUILLO MD (OWNER)
(787) 225-0890
Entity
Organization
Contact information
Practice address
BARRIO TORRECILLA ALTA CALLE 5 #112 SECTOR VILLA SANTA, CANOVANAS, PR 00729
(352) 657-4058
Mailing address
7380 SW 60TH ST, OCALA, FL 34474-2054
(352) 657-4058
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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