Provider Demographics
NPI:1174390215
Name:RENTAS, KEISHNAY
Entity type:Individual
Prefix:
First Name:KEISHNAY
Middle Name:
Last Name:RENTAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 41909
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8335
Mailing Address - Country:US
Mailing Address - Phone:939-252-3884
Mailing Address - Fax:
Practice Address - Street 1:1018 CALLE 19 SE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3113
Practice Address - Country:US
Practice Address - Phone:939-252-3884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program