Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renzo Mogollon, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1356090617

Renzo Mogollon, MD is a Geriatric Medicine (Internal Medicine) Physician in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

72 E Concord St # 2700
Boston, MA 02118-2642
Phone: (617) 638-6178
Show map & directions

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

Additional practice locations (1)

  • 745 W Moana Ln Ste 300, Reno, NV 89509-4980 — (775) 327-5174

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 3017846 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356090617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025

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