Rengifo-Moreno, Pablo A

Rengifo-Moreno, Pablo A is an sole proprietor health care provider with primary practice located at 1625 Se 3Rd Ave Ste 620 , Fort Lauderdale FL 33316-2521. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rengifo-Moreno, Pablo A can be contacted via phone (954) 788-5000.

Contact Information

Primary practice address
1625 Se 3Rd Ave Ste 620 Fort Lauderdale FL 33316-2521
Fax: (954) 888-3505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME138838 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 076669 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AS 4148501 E-64 Massachusetts

Profile Details

NPI number 1356500854
LBN Legal business name Rengifo-Moreno, Pablo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2008
Last updated Oct 20th, 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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