Individual provider Active NPI

Jamie Krystal Serrano Kuilan

  • Professional Counselor
  • Dorado, PR
National Provider Identifier
1023693686
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1755 Issued in PR
Practice address
G16 Calle Eucalipto
Quintas de Dorado
Dorado, PR 00646
Phone
(787) 365-3317
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 1755 PR Primary

Addresses

Primary practice location

G16 Calle Eucalipto
Quintas de Dorado
Dorado, PR 00646

Mailing address

Urb. Qtas de Dorado G16 Calle Eucalipto
Dorado, PR 00646-4735
Phone (787) 307-5516

Other practice location 1

1503 Calle Prof Augusto Rodriguez # 600
San Juan, PR 00909-2275
Phone (787) 497-0800

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

LicenseStateTypeSpecialty
1755PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1023693686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. QTAS DE DORADO G16 CALLE EUCALIPTO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464735",
            "telephone_number": "787-307-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G16 CALLE EUCALIPTO",
            "address_2": "QUINTAS DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-365-3317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 Calle Prof Augusto Rodriguez # 600",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009092275",
            "country_code": "US",
            "telephone_number": "787-497-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO KUILAN",
        "first_name": "JAMIE",
        "middle_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.