Healthcare Provider Details

I. General information

NPI: 1750694626
Provider Name (Legal Business Name): YAIXA RENTAS-TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 10/09/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE
HEMPSTEAD NY
11550-8115
US

IV. Provider business mailing address

230 HILTON AVE
HEMPSTEAD NY
11550-8115
US

V. Phone/Fax

Practice location:
  • Phone: 516-565-5200
  • Fax: 516-565-6215
Mailing address:
  • Phone: 516-565-5200
  • Fax: 516-565-6215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME150194
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number020248
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number299006
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: