St Jude Pain and Rehabilitation Specialists

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME73546 Issued in FL

Legal business name

ST JUDE PAIN AND REHABILITATION SPECIALISTS

Practice address

2828 S Seacrest Blvd Ste 211
Boynton Beach, FL 33435

Phone

(561) 369-7644

Fax

(561) 369-3471

NPI assigned

Apr 24, 2015

Last updated

Jul 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexis R Renta, M.D.NPI 1407870736

Title

Physician

Phone

(561) 722-3388

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Rafael Renta, M.D.

  • Interventional Pain Medicine Physician
  • Boynton Beach, FL
  • NPI 1407870736
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1184011496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 LAKE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443046",
            "telephone_number": "561-722-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 211",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-369-7644",
            "fax_number": "561-369-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE PAIN AND REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "RENTA",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-722-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME73546",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME73546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latha Srinath, MD
• Juna Danastor St Fleur
• Medlyne St Fort, ARNP
• St George OD LLC
• Tatiana St Jean
• St Mary's Chiro Med & Wellness Center LLC
• Cassandra Franchesca St. Fleur, FNP-BC
• Rosenie St. Fleur
• Mark Edwin St. John, LCSW, CAP
• Santana St. Remy, ARNP

• Interventional Pain Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.