Active NPI
Daniel Serrano Gonzalez, PHD
- Clinical Psychologist
- Barceloneta, PR
National Provider Identifier
1013472257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6913
- Practice address
- 2301 Carr 2 Ste 215
Barceloneta, PR 00617-3240 - Phone
- (787) 908-2412
- NPI assigned
- Feb 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 6913 | PR | Primary |
Addresses
Primary practice location
2301 Carr 2 Ste 215
Barceloneta, PR 00617-3240
Mailing address
42 Calle Balboa
Arecibo, PR 00612-6823
Phone (787) 908-2412
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928001116 | PR | Practitioner - Clinical Psychologist | 2567869936 | Practice locations: Arecibo, PR; Barceloneta, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6913 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1013472257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CALLE BALBOA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006126823",
"telephone_number": "787-908-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CARR 2 STE 215",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006173240",
"telephone_number": "787-908-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO GONZALEZ",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-01",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
- Norma I. Santos Otero
- Luis Manuel Santos Vidot
- Luis Ramon Santos-Rivera, D.M.D.
- Nilfra Seise, PSY.D
- Maricarmen Sepulveda Quintana, MD
- Servicios de Salud Primarios de Barceloneta, Inc.
- Servicios de Salud Primarios de Barceloneta, Inc.
- Servicios de Salud Primarios de Barceloneta, Inc.
- Servicios de Salud Primarios de Barceloneta, Inc.
- Servicios de Salud Primarios de Barceloneta, Inc. - Radiology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.