MEDICARE: ADAMARYS RENTA

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
1	2355S0801X	Speech-Language Assistant	7418	PR

General Provider Information

NPI Number	:	1477443760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAMARYS RENTA

Provider Business Mailing Address
First Line	:	URB SAN ANTONIO 1719
Second Line	:	CALLE DONCELLA
City	:	PONCE
State	:	PR
Zip	:	00728-1623
Country	:	US
Telephone Number	:	787-677-9737
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB SAN ANTONIO 1719
Second Line	:	CALLE DONCELLA
City	:	PONCE
State	:	PR
Zip	:	00728-1623
Country	:	US
Telephone Number	:	787-677-9737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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Directions to “ ADAMARYS RENTA ” Practice Location

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