Provider Demographics
NPI:1750694626
Name:RENTAS-TORRES, YAIXA (MD)
Entity type:Individual
Prefix:
First Name:YAIXA
Middle Name:
Last Name:RENTAS-TORRES
Suffix:
Gender:F
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 HILTON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8115
Mailing Address - Country:US
Mailing Address - Phone:516-565-5200
Mailing Address - Fax:516-565-6215
Practice Address - Street 1:230 HILTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8115
Practice Address - Country:US
Practice Address - Phone:516-565-5200
Practice Address - Fax:516-565-6215
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME150194207RI0200X
PR020248208D00000X
NY299006207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114468700Medicaid
FLTS044OtherMEDICARE HF