Provider Demographics
NPI:1679453955
Name:RENUV WOUND CARE LLC
Entity type:Organization
Organization Name:RENUV WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-261-9270
Mailing Address - Street 1:1566 S GILBERT ST STE 1037
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4304
Mailing Address - Country:US
Mailing Address - Phone:319-261-9270
Mailing Address - Fax:
Practice Address - Street 1:1566 S GILBERT ST STE 1037
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4304
Practice Address - Country:US
Practice Address - Phone:319-261-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENUV WOUND CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty