Individual provider · Type 1 NPI

Vincent Alexander Renta Iv, MD

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1639865140 Active

Practice location

580 Rice St
St. Paul, MN 55103-2148

Call (651) 227-6551 Map

Other practice locations

  • 17489 Dodd Blvd, Lakeville, MN 55044-6506 · (952) 428-1020

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X77826 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639865140

Vincent Alexander Renta Iv, MD's National Provider Identifier is 1639865140, issued on Apr 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 14, 2026.