Individual provider Active NPI

German Leroy Serrano Cruet, M.D,

  • Child & Adolescent Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1053653170
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
21345 Issued in PR
Practice address
917 Ave Tito Castro Ste 620
Ponce, PR 00716-4717
Phone
(787) 329-0999
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 21345 PR Primary
Psychiatry Physician 2084P0800X 21345 PR

Addresses

Primary practice location

917 Ave Tito Castro Ste 620
Ponce, PR 00716-4717

Mailing address

PO Box 800859
Coto Laurel, PR 00780-0859
Phone (787) 329-0999

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730002397 PR Practitioner - Psychiatry 6204162142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novapsych PSC Psychiatry CurrentSince May 1, 2023 Accepting new patients
Ca Psychiatry Services LLC Psychiatry CurrentSince Jan 28, 2024 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. Past Accepting new patients
Novapsych PSC PastSince Jun 14, 2020 Accepting new patients

Locations

917 Ave Tito Castro
Ste 620
Ponce, PR 00716
Phone (787) 329-0999

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1053653170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800859",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800859",
            "telephone_number": "787-329-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO STE 620",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-329-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO CRUET",
        "first_name": "GERMAN",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "21345",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "21345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.