Alderete, Renzo

Alderete, Renzo is an sole proprietor health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Alderete, Renzo can be contacted via phone (305) 585-1111.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 585-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2025028133 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN9497937 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9497937 Florida

Profile Details

NPI number 1003383381
LBN Legal business name Alderete, Renzo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2018
Last updated Oct 27th, 2025 - about last year

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 1003383381 NPPES
Florida MEDICAID 104964400
Florida Other UE168

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