Eduardo Renta Emmanuelli, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

7669 Issued in PR

Practice address

8104 Calle Concordia
Ponce, PR 00717-1541

Phone

(787) 842-2013

Fax

(787) 842-2013

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1447368683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330043",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007330043",
            "telephone_number": "787-842-2013",
            "fax_number": "787-842-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171541",
            "telephone_number": "787-842-2013",
            "fax_number": "787-842-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTA EMMANUELLI",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE",
            "identifier": "825224",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067304",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "2835",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "7330012",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "27477",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M. Redondo Sr., DC
• Rema Gastroenterology of Puerto Rico PSC
• Remedic Corporation
• Carlos Remedios-Carbone, M.D.
• Alanis Indira Renovales
• Maria de Los Angeles Renta-Soto, M.D.
• Adamarys Renta
• Javier Enrique Rentas Colon
• Luis Angel Rentas Leon, MD
• Karla Juliana Rentas Teissonniere, RBT22-238547

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.