RENOVA TELEMED NPI 1669303459

NPI Information

  • NPI: 1669303459
  • Provider Name: RENOVA TELEMED
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: BARRIO TORRECILLA ALTA CALLE 5 #112 SECTOR VILLA SANTA
    CANOVANAS, PR
    ZIP 00729
  • Phone: (352) 657-4058

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NPI Details

RENOVA TELEMED is a general practice in Canovanas, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RENOVA TELEMED NPI is 1669303459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

BARRIO TORRECILLA ALTA CALLE 5 #112 SECTOR VILLA SANTA
CANOVANAS, PR
ZIP 00729
Phone: (352) 657-4058

The provider's authorized official is Danelis Priscilla Ayala Carrasquillo .
The authorized official title is Owner and has the following contact phone number (787) 225-0890.

The enumeration date for this NPI number is 5/28/2026 and was last updated on 5/28/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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