Individual
DR. ALEXIS RAFAEL RENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 S SEACREST BLVD STE 211, BOYNTON BEACH, FL 33435
(561) 369-7644
(561) 369-3471
Mailing address
PO BOX 39, BOYNTON BEACH, FL 33425-0039
(561) 369-7644
(561) 369-3471
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME0073546
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME73546
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME73546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407870736
UNITED HEALTH CARE
FL
Enumeration date
07/27/2006
Last updated
05/12/2022
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