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General NPI Number Information
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NPI Number | 1487219721
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Entity Type | Individual
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Provider Name | RENAN AMADOR MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 201 N STATE ROAD 7
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City | MARGATE
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State | FL
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Zip | 33063-4556
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Country | US
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Telephone | 954-532-0791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 442152
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City | MIAMI
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State | FL
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Zip | 33144-9152
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Country | US
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Telephone | 786-709-8862
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 151659
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 151659
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License Number State | FL
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