Octavio Carranza Renteria, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Florida Atlantic University Neurology Residency Program
800 Meadows Road
Boca Raton, FL 33486

Phone

(561) 955-3945

Fax

(186) 662-2218

NPI assigned

Jul 19, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: octavio.carranza.renteria.1@26289.direct.athenahealth.com
• Direct secure messaging: ocarranzarenteria792096@direct.shands.ufl.edu

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1457924482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLORIDA ATLANTIC UNIVERSITY NEUROLOGY RESIDENCY PROGRAM",
            "address_2": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-955-3945",
            "fax_number": "186-662-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA ATLANTIC UNIVERSITY NEUROLOGY RESIDENCY PROGRAM",
            "address_2": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-955-3945",
            "fax_number": "186-662-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA RENTERIA",
        "first_name": "OCTAVIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carpe Diem Intellectus, Inc.
• Bryce Nathaniel Carpenter
• Eros Carpio
• Soraya Carmen Carr, LMHC
• Damien Carracedo, M.D.
• Corynne Carranza, LCSW
• Roberta R Infante Vieira Carraro, APRN
• Judith Carrenard-Clervil
• Lindsay Caroline Carrick, AU.D.
• Carrie Convers, LMHC, LLC

• Student in an Organized Health Care Education/Training Program in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.