Basilia I De Encarnacion, M.D.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5143 Issued in PR

Practice address

Ave. Eleanor Roosevelt 114 Altos 2DO. Piso
Hato Rey, PR 00918

Phone

(787) 759-7035

Fax

(787) 753-8095

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679694426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LL13 CALLE ROSE",
            "address_2": "ALTURAS DE BORINQUEN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265929",
            "telephone_number": "787-640-3256",
            "fax_number": "787-731-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ELEANOR ROOSEVELT 114 ALTOS 2DO. PISO",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-759-7035",
            "fax_number": "787-753-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ENCARNACION",
        "first_name": "BASILIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "5143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5143",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucille E Cruz, PH.D.
• Pablo Cruzado Santiago, M.D.
• CSP Cardiomax Corp
• Edwin A Cuevas Jr., MD
• Roberto Luis Davila-Depedro, MD
• Nelly De Jesus, RNBSN
• Maritza De la Cruz, MD
• Annette De Paz Ortiz, PSY.D.
• Departamento de Educacion de Puerto Rico
• Zenaida Diaz Rodriguez, MD

• Medical Physician Assistant in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.