Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Renacer Medical Group LLC

Organization General Practice Physician · NPI 1639801491

Renacer Medical Group LLC provides General Practice Physician services in Miami, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1647 SW 27th Ave
Miami, FL 33145-2044
Phone: (305) 456-6205
Fax: (305) 456-6207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1639801491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marianela De La Portilla — Ambr · (305) 456-6205
NPI enumeratedJune 29, 2022
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1647 Sw 27th Ave, Miami, FL 33145-2044

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