Active NPI
Dennise Marie Serrano
- Physician Assistant
- Manati, PR
National Provider Identifier
1003459264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0054-P.A.
- Practice address
- Doctors Center Hospital
Carr #2 KM 47.7 Bo Cotto Norte
Manati, PR 00674-8513 - Phone
- (787) 854-3322
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0054-P.A. | PR | Primary |
Addresses
Primary practice location
Doctors Center Hospital
Carr #2 KM 47.7 Bo Cotto Norte
Manati, PR 00674-8513
Mailing address
Estancias de Manati
10 Calle Calamar
Manati, PR 00674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0054-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1003459264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTANCIAS DE MANATI",
"address_2": "10 CALLE CALAMAR",
"city": "MANATI",
"state": "PR",
"postal_code": "00674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DOCTORS CENTER HOSPITAL",
"address_2": "CARR #2 KM 47.7 BO COTTO NORTE",
"city": "MANATI",
"state": "PR",
"postal_code": "006748513",
"telephone_number": "787-854-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "DENNISE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "0054-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Jesus Boanerges Sarmiento, M.D.
- Saule Corp
- Zaira Serrano Garcia, PHYSICALL THERAPIST
- Ramon C Serrano-Medina, MD
- Alberto Carlos Serrano, 19316
- Servicios de Patologia de Manati, PSC
- Servicios Emergencias Pediatricas Integrados
- Servicios Gineco-Obstetricos del Norte PSC
- Servicios Reumatologicos del Norte
- Servicios Visuales del Norte, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.