Carlos M Pentzke-Chamorro, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15834 Issued in PR

Practice address

1 Calle Herminio Miranda
Morovis, PR 00687-3032

Phone

(787) 862-4321

Fax

(787) 369-7656

NPI assigned

Mar 7, 2006

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

Enrolled in PR

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 1

Specialty

General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Departamento de Salud OficialGroup PAC ID 9537170162, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Departamento de Salud Oficial

  • Rural Acute Care Hospital
  • Vieques, PR
  • NPI 1770703845
  Medicare reassignment Care Compare group NPD
• Departamento de Salud Oficial

  • Emergency Care Clinic/Center
  • Adjuntas, PR
  • NPI 1184827370
  NPD
• Eastern Cardiovascular Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Morovis, PR
  • NPI 1326015876
  NPD (past)
• Quality Imaging Medical Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Toa Baja, PR
  • NPI 1811964422
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1881661056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6980",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606980",
            "telephone_number": "787-780-0991",
            "fax_number": "787-785-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE HERMINIO MIRANDA",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873032",
            "telephone_number": "787-862-4321",
            "fax_number": "787-369-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZKE-CHAMORRO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josean Ortiz, MD
• Jeyleen Ortiz, MD, MD
• Carolina Otero - Santiago, DC
• Nelson Pagan-Figueroa, PHARM D
• Carmen Mercado Pena, PSY.D
• Perez Internal Care PSC
• Juan F Perez Rosado, M.D.
• Catherine Yamilys Perez, MS CCC SLP
• Primary Care Associates & Wellness, LLC
• Primary Physicians Medical Services PSC

• General Practice Physician in Morovis, PR
• Providers in Morovis, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.