Active NPI
Jamie Krystal Serrano Kuilan
- Professional Counselor
- Dorado, PR
National Provider Identifier
1023693686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1755
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1755 | PR | MD | General 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.