MEDICARE: R E N ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	05P1703	PR
2	332BX2000X	Oxygen Equipment & Supplies (DME)	05P1703	PR

General Provider Information

NPI Number	:	1730182338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R E N ENTERPRISES INC

Provider Business Mailing Address
First Line	:	PO BOX 467
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-0467
Country	:	US
Telephone Number	:	787-805-6325
Fax Number	:	787-805-6301

Provider Business Practice Location Address
First Line	:	155 CALLE RAMOS ANTONINI E.
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-5043
Country	:	US
Telephone Number	:	787-805-6325
Fax Number	:	787-805-6301

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MRS. ENEIDA Q VILLARRUBIA
Credential	:	R.N.
Telephone Number	:	787-805-6325

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/31/2008

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Directions to “R E N ENTERPRISES INC ” Practice Location

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