DR. FERNANDO ENTENZA - NPI NUMBER 1033231287

Summary

Provider Name: DR. FERNANDO ENTENZA

NPI Number: 1033231287

Clasification: Psychiatry & Neurology (2084P0800X)

Specialization: Psychiatry

Address:
73 CALLE SANTA CRUZ
SUITE 201, EDIFICIO MEDICO SANTA CRUZ
BAYAMON, PR
ZIP 00961

Phone Number: (787) 269-2000



Detailed Information

DR. Fernando Entenza is a psychiatrist in Bayamon, PR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. The assigned NPI number for this provider is 1033231287 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

73 CALLE SANTA CRUZ
SUITE 201, EDIFICIO MEDICO SANTA CRUZ
BAYAMON, PR
ZIP 00961-910
Phone: (787) 269-2000
Fax: (787) 269-2002

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084P0800X Psychiatry & Neurology Psychiatry 11764 PR Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 0087636 MEDICARE ID-TYPE UNSPECIFIED PR PROVIDER, PSYCHIATRY

NPI Record

No. Field Name Field Value
1 NPI 1033231287
2 Entity Type Code 1
3 Provider Last Name Legal Name ENTENZA
4 Provider First Name FERNANDO
5 Provider Name Prefix Text DR.
6 Provider First Line Business Practice Location Address 73 CALLE SANTA CRUZ
7 Provider Second Line Business Practice Location Address SUITE 201, EDIFICIO MEDICO SANTA CRUZ
8 Provider Business Practice Location Address City Name BAYAMON
9 Provider Business Practice Location Address State Name PR
10 Provider Business Practice Location Address Postal Code 009616910
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7872692000
13 Provider Business Practice Location Address Fax Number 7872692002
14 Provider Enumeration Date 4/6/2007
15 Last Update Date 7/8/2007
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 2084P0800X
18 Provider License Number 1 11764
19 Provider License Number State Code 1 PR
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 0087636
22 Other Provider Identifier Type Code 1 04
23 Other Provider Identifier State 1 PR
24 Other Provider Identifier Issuer 1 PROVIDER, PSYCHIATRY
25 Is Sole Proprietor Y

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.