Isidro Guillermo Pentzke, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M67383 Issued in FL

Practice address

6309 S Dixie Hwy
West Palm Beach, FL 33405-4328

Phone

(561) 585-0640

Fax

(561) 585-0659

NPI assigned

Aug 27, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ipentzke@umci-fl.direct.office.nextgen.com

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1174716799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054328",
            "telephone_number": "561-585-0640",
            "fax_number": "561-585-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054328",
            "telephone_number": "561-585-0640",
            "fax_number": "561-585-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZKE",
        "first_name": "ISIDRO",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "M67383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pendulum Detox, LLC (1 Solution Detox)
• Shantel Penn
• Amanda Lynn Penton
• Layda Penton, LMHC
• Pentzke Medical Center Inc
• Edward Penza, DDS
• Peopleone Health Florida, LLC
• Stephanie N Peoples, MSW
• Dayeren Peraza Perez
• Enmanuel Perdomo Lopez

• General Practice Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.