Provider Demographics
NPI:1205079563
Name:SONIA I RENTE MD PA
Entity type:Organization
Organization Name:SONIA I RENTE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-553-4024
Mailing Address - Street 1:9600 SW 8TH ST
Mailing Address - Street 2:SUITE 37
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2900
Mailing Address - Country:US
Mailing Address - Phone:305-553-4024
Mailing Address - Fax:305-553-4025
Practice Address - Street 1:9600 SW 8TH ST
Practice Address - Street 2:SUITE 37
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:305-553-4024
Practice Address - Fax:305-553-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME677382084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty