Healthcare Provider Details

I. General information

NPI: 1831010461
Provider Name (Legal Business Name): BELEN ISELA RENTERIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WILFORD HALL LOOP
SAN ANTONIO TX
78236-5638
US

IV. Provider business mailing address

210 UTAH ST UNIT 101
SAN ANTONIO TX
78210-2068
US

V. Phone/Fax

Practice location:
  • Phone: 210-292-4739
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: