Individual
DR. EDUARDO RENTA EMMANUELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8104 CALLE CONCORDIA, PONCE, PR 00717-1541
(787) 842-2013
(787) 842-2013
Mailing address
PO BOX 330043, PONCE, PR 00733-0043
(787) 842-2013
(787) 842-2013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7669
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067304
CRUZ AZUL
PR
01
—
27477
TRIPLE S
PR
01
—
2835
INTERNATIONAL MEDICAL CAR
PR
01
—
7330012
HUMANA INSURANCE
PR
01
—
825224
MMM HEALTHCARE
PR
Enumeration date
08/28/2006
Last updated
03/24/2010
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