Provider Demographics
NPI:1417175001
Name:AMRO, RENA R (MD)
Entity type:Individual
Prefix:DR
First Name:RENA
Middle Name:R
Last Name:AMRO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1501 FOREST HILL BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6000
Mailing Address - Country:US
Mailing Address - Phone:561-434-6796
Mailing Address - Fax:561-434-6792
Practice Address - Street 1:1501 FOREST HILL BLVD
Practice Address - Street 2:STE 101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6000
Practice Address - Country:US
Practice Address - Phone:561-434-6796
Practice Address - Fax:561-434-6792
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME85744207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5389060001Medicare NSC
FL51959Medicare PIN
FLH72537Medicare UPIN