OrganizationRenew Wound Care Of New Mexico LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5900 Forest Hills Dr NE, Albuquerque, NM 87109-4129(718) 408-8860PECOS EnrollmentBased on the most recent information from CMS, provider Renew Wound Care Of New Mexico Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1649997198Provider TypeOrganizationFull NameRenew Wound Care Of New Mexico LlcSubpartNoEnumeration Date10/25/2022Last Updated6/27/2023Contact InformationPractice LocationPractice Address5900 Forest Hills Dr NE, Albuquerque, NM 87109-4129Phone(718) 408-8860FaxUnlisted FaxMailing LocationMailing Address1481 Mcdonald Ave, Brooklyn, NY 11230-4667PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWiesenfeld, Joseph (Administrator)Phone(718) 408-8860Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode163WW0000XDescriptionRegistered NurseNursing Service ProvidersLicenseUnlisted IssuerCode207RG0300XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer