Angel L Rentas Leon, MD | |
3372 W Southport Rd, Kissimmee, FL 34746-2706 | |
(407) 933-7900 | |
(321) 437-0072 |
Full Name | Angel L Rentas Leon |
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Gender | Male |
Speciality | General Practice |
Location | 3372 W Southport Rd, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407092877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 17427 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN1542 (Florida) | Primary |
Entity Name | Primary Medical Group Csp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174593545 PECOS PAC ID: 4385556083 Enrollment ID: O20040626000264 |
Entity Name | Primary Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417927898 PECOS PAC ID: 5890001630 Enrollment ID: O20150825003720 |
Mailing Address | Practice Location Address |
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Angel L Rentas Leon, MD 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330 | Angel L Rentas Leon, MD 3372 W Southport Rd, Kissimmee, FL 34746-2706 Ph: (407) 933-7900 |
Saadia Fersobe, MD General Practice Medicare: Medicare Enrolled Practice Location: 804 Emmett St, Kissimmee, FL 34741 Phone: 407-749-0380 Fax: 407-569-4149 | |
Dr. Carlos Javier Lugo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1960 E Osceola Pkwy, Kissimmee, FL 34743 Phone: 407-978-6400 Fax: 407-530-4326 | |
Norma Maria Perez - Torres, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 308 W Bass St, Kissimmee, FL 34741 Phone: 407-933-1760 Fax: 407-933-8060 | |
Mrs. Luciol D Livette, MD General Practice Medicare: Medicare Enrolled Practice Location: 109 N Doverplum Ave, Kissimmee, FL 34758 Phone: 407-943-8600 Fax: 833-464-3641 | |
Caridad Gonzalez, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 1952 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-978-6605 Fax: 407-978-6610 | |
David Riascos, MD General Practice Medicare: Medicare Enrolled Practice Location: 920 N John Young Pkwy, Kissimmee, FL 34741 Phone: 407-956-1920 | |
Dr. Sylvia Collazo, MD General Practice Medicare: Medicare Enrolled Practice Location: 833 E Oak St, Kissimmee, FL 34744 Phone: 407-350-3373 Fax: 407-910-4740 |