Healthcare Provider Details

I. General information

NPI: 1174336127
Provider Name (Legal Business Name): RENUE U MEDSPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5390 N ACADEMY BLVD STE 150
COLORADO SPRINGS CO
80918-4064
US

IV. Provider business mailing address

5390 N ACADEMY BLVD STE 150
COLORADO SPRINGS CO
80918-4064
US

V. Phone/Fax

Practice location:
  • Phone: 719-698-6175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCA RAYOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-741-0990