Individual provider Active NPI

Eduardo Rentas Jr., M.D.

  • Psychiatry Physician
  • Kissimmee, FL
National Provider Identifier
1215997994
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12302 Issued in PR
Practice address
717 E Oak St
Kissimmee, FL 34744-4580
Phone
(407) 846-0533
NPI assigned
Mar 25, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12302 PR Primary

Addresses

Primary practice location

717 E Oak St
Kissimmee, FL 34744-4580

Mailing address

PO Box 621
Manati, PR 00674-0621
Phone (787) 884-5700

Other practice location 1

Carr 149 # Km7.5
Bo. Rio Arriba Saliente
Manati, PR 00674-9670
Phone (787) 884-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090108000557 PR Practitioner - Psychiatry 5193888741 Practice locations: Manati, PR
I20220329000124 FL Practitioner - Psychiatry 5193888741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 5 Carr 149 KM
Manati, PR 00674
Phone (787) 884-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Behavioral Healthcare, LLC Psychiatry CurrentSince Nov 27, 2021 Accepting new patients
San Juan Capestrano Hospital Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

711 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

717 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

719 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: eduardo.rentas@087.emedpractice.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1215997994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740621",
            "telephone_number": "787-884-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444580",
            "telephone_number": "407-846-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 149 # Km7.5",
            "address_2": "Bo. Rio Arriba Saliente",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "006749670",
            "country_code": "US",
            "telephone_number": "787-884-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTAS",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.