RENAISSANCE REJUVENATING MEDICINE INC


Address: 629 Sw 4th St, Cape Coral, FL 33991-1971
Phone: 2398003028

RENAISSANCE REJUVENATING MEDICINE INC (NPI# 1528543725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528543725
Entity Type Organization
Organization Name RENAISSANCE REJUVENATING MEDICINE INC
Practice Address 629 Sw 4th St
Cape Coral
FL 33991-1971
Practice Telephone 2398003028
Practice Fax Number 2395994893
Mailing Telephone 2398003028
Mailing Fax Number 2395994893
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Authorized Official Name ALFONSO GARCIA BELLO (PRESIDENT)
Authorized Official Telephone 2398003028
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR1100X Clinic/Center
Specialization: Research
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 629 SW 4TH ST
City CAPE CORAL
State FL
Zip Code 33991-1971

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City CAPE CORAL
Zip Code 33991

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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