Individual
ALBERTO L RENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1665 W 49TH ST, SUITE 1486, HIALEAH, FL 33012-2957
(305) 819-3134
(305) 819-3107
Mailing address
1665 W 49TH ST, SUITE 1486, HIALEAH, FL 33012-2957
(305) 819-3134
(305) 819-3107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581
PUERTO RICO LICENSE
PR
01
—
OPC3979
FLORIDA LICENSE
FL
01
—
OPT2076
GEORGIA LICENSE
GA
Enumeration date
08/30/2006
Last updated
07/08/2007
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