NPI 1093534356
Renaissance Medical Group Pr Corporation
Practice location
- Address
- 406 Coco Beach Blvd APT D402, Rio Grande, PR 00745-4020
- Phone
- (774) 420-2311
- Fax
- (508) 462-0287
- Mailing address
- 11-15 Sandersdale Road, Southbridge, MA 01550-2855
Authorised official
- Name
- Lissette Guzman
- Title
- Executive Director
- Phone
- (774) 318-1400
Registered specialties (2)
Home Health Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1093534356
- Entity type
- Organization
- NPI issued
- 4 Oct 2024
- Record last updated
- 15 Jul 2025
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.