Active NPI
Maxuel E. Genao Encarnacion, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1366438434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11201
- Practice address
- Za1 Calle 36
Urb. Riverview
Bayamon, PR 00961-3929 - Phone
- (787) 785-2694
- Fax
- (787) 787-3109
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11201 | PR | Primary |
Addresses
Primary practice location
Za1 Calle 36
Urb. Riverview
Bayamon, PR 00961-3929
Mailing address
PO Box 50027
Toa Baja, PR 00950-0027
Phone (787) 785-2694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87629 | Other | PR | TRIPLE-S |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Marginal Santa Cruz
17 Urb Santa Cruz
Bayamon, PR 00961-6706
Phone (787) 780-1273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11201 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Foundation of Puerto Rico, Inc. | General Practice | Current | Accepting new patients |
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients | |
| Riverview Cardiovascular Services CSP | Past | Accepting new patients | |
| Riverview Medical Services, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1881016020
General Practice
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayamon, PR
- NPI 1114626991
-
- Cardiovascular Disease Physician
- Bayamon, PR
- NPI 1083892467
-
- Family Medicine Physician
- Bayamon, PR
- NPI 1235255225
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1366438434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50027",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009500027",
"telephone_number": "787-785-2694",
"fax_number": "787-787-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ZA1 CALLE 36",
"address_2": "URB. RIVERVIEW",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613929",
"telephone_number": "787-785-2694",
"fax_number": "787-787-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENAO ENCARNACION",
"first_name": "MAXUEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "87629",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.