Provider Demographics
NPI:1457485245
Name:ALTARAS, RONA E (MD)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:E
Last Name:ALTARAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BERMUDA BAY LN
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-3421
Mailing Address - Country:US
Mailing Address - Phone:484-612-8029
Mailing Address - Fax:
Practice Address - Street 1:230 BERMUDA BAY LN
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-3421
Practice Address - Country:US
Practice Address - Phone:484-612-8029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1133042086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ182848Medicare PIN
PA1018647890004Medicaid
PA03770OtherHEALTH PARTNERS
PA1964976OtherHIGHMARK BLUE SHIELD
PA30041616OtherKEYSTONE MERCY
NJ0232416Medicaid
PA2952901OtherAETNA
PA111658Q0SMedicare PIN
PA2845768000OtherKEYSTONE, IBC
PA2845768000OtherPERSONAL CHOICE