Rengifo, Alberto

Rengifo, Alberto is an individual health care provider with primary practice located at 2625 Executive Park Dr Ste 3 , Weston FL 33331-3634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rengifo, Alberto can be contacted via phone (954) 217-1442.

Contact Information

Primary practice address
2625 Executive Park Dr Ste 3 Weston FL 33331-3634
Phone: (954) 217-1442
Fax: (954) 884-8606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME95009 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME95009 Florida

Profile Details

NPI number 1174532006
LBN Legal business name Rengifo, Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jun 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174532006 NPPES
Florida MEDICAID 276703100

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