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NPI Code Detail

MEDICARE: RENZO ALDERETE APRN

MEDICARE: RENZO ALDERETE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2025028133MO
2363LC0200XCritical Care Medicine Nurse PractitionerAPRN9497937FL
3363L00000XNurse PractitionerAPRN9497937FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2UE168OTHERFLMEDICARE HF

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003383381
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENZO ALDERETE APRN
Provider Business Mailing Address
First Line : 4212 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-7236
Country : US
Telephone Number : 305-546-1935
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-585-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2018
Last Update Date : 10/27/2025

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Directions to “ RENZO ALDERETE APRN” Practice Location

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