Active NPI
Eduardo Rentas Jr., M.D.
- Psychiatry Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12302
- Practice address
- 717 E Oak St
Kissimmee, FL 34744-4580 - Phone
- (407) 846-0533
- NPI assigned
- Mar 25, 2006
- Last updated
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Behavioral Healthcare, LLC | Psychiatry | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1477744548
Psychiatry
-
- General Practice Physician
- Kissimmee, FL
- NPI 1831544832
-
dba San Juan Capestrano Hospital
- Psychiatric Hospital
- Rio Piedras, PR
- NPI 1144293705
-
dba San Juan Capestrano Hospital
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manati, PR
- NPI 1659580587
-
dba San Juan Capestrano Hospital
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hatillo, PR
- NPI 1669673885
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.