Fernando Entenza, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11764 Issued in PR

Practice address

Plaza Laurel 300, Laurel Avenue
Santa Juanita
Bayamon, PR 00959

Phone

(782) 288-0277

Fax

(787) 966-7923

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

University of Puerto Rico School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universidad Central del Caribe, Inc.

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1598824765
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1033231287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 VIA VERSALLES",
            "address_2": "VILLAS REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695339",
            "telephone_number": "787-789-3241",
            "fax_number": "787-789-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA LAUREL 300, LAUREL AVENUE",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "782-288-0277",
            "fax_number": "787-966-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Calle Santa Cruz",
            "address_2": "Suite 201, Edificio Medico Santa Cruz",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009616910",
            "country_code": "US",
            "telephone_number": "787-269-2000",
            "fax_number": "787-269-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTENZA",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Encarnacion Kuilan, MD
• Sharon Encarnacion
• Endocare VMT LLC
• Endorap LLC
• Energetiks Chiropractic Center, PSC
• Equip Corp
• Equipmedic Corp
• Itzia Erazo-Cruz, DENTAL ASSISTANT
• Melissa Erazo, OPT
• Luis Antonio Escabi Sr., MD

• Psychiatry Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.