Provider Demographics
NPI:1902631278
Name:RENACER SALUD BIENESTAR Y BELLEZA LLC
Entity type:Organization
Organization Name:RENACER SALUD BIENESTAR Y BELLEZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:939-242-8719
Mailing Address - Street 1:HC 2 BOX 6212
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650-9302
Mailing Address - Country:US
Mailing Address - Phone:939-242-8719
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 639 KM 1.8 SECTOR CANDELARIA SABANA HOYOS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:939-242-8719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty