NPI 1043679236

Renova Corp. Csp

Organisation Medical Specialty Clinic/Center Aguadilla, PR

Practice location

Address: Carr 2 Km 141.1 Ave Severeano Cuevas #18 Western Medical Plaza 1st Floor Suite # 24, Aguadilla, PR 00605
Phone: (787) 412-7009
Fax: (787) 919-0644
Mailing address: Carr 2 Km 141.1 Ave Severeano Cuevas #18 Western Medical Plaza 1st Floor Suite 24 Aguadilla, Aguadilla, PR 00605

Authorised official

Name: Janice Marie Rodriguez
Title: Medical Director
Phone: (787) 412-7009

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 17029 (PR)

Other Clinic/Center providers in Puerto Rico →

Registry record

NPI: 1043679236
Entity type: Organization
NPI issued: 16 Feb 2016
Record last updated: 16 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.