Provider Demographics
NPI:1902894587
Name:SARTORI, RENATO V (MD)
Entity Type:Individual
Prefix:DR
First Name:RENATO
Middle Name:V
Last Name:SARTORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:239 AVE ARTERIAL HOSTOS
Mailing Address - Street 2:SUITE 603
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1474
Mailing Address - Country:US
Mailing Address - Phone:787-274-1717
Mailing Address - Fax:787-281-0815
Practice Address - Street 1:239 AVE ARTERIAL HOSTOS
Practice Address - Street 2:SUITE 603
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1474
Practice Address - Country:US
Practice Address - Phone:787-274-1717
Practice Address - Fax:787-281-0815
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0039652084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC83941Medicare UPIN
PR0095126Medicare ID - Type Unspecified