Individual provider Active NPI

Cathyria Mariela Marrero-Serra, PHARMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1093354557
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6718 Issued in PR
Practice address
282 Ave Jesus T Pinero
San Juan, PR 00927-3921
Phone
(787) 523-3555
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6718 PR Primary

Addresses

Primary practice location

282 Ave Jesus T Pinero
San Juan, PR 00927-3921

Mailing address

PO Box 80220
Corozal, PR 00783-8220
Phone (787) 206-9827

Other identifiers 1

IdentifierTypeStateIssuer
6718OtherPRSTATE LICENSE

Other names 1

  • Dr. Cathyria Mariela Marrero-Serra Professional name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6718PRMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: cathyria.marreroserra.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1093354557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80220",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007838220",
            "telephone_number": "787-206-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273921",
            "telephone_number": "787-523-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-SERRA",
        "first_name": "CATHYRIA",
        "middle_name": "MARIELA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6718",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHYRIA",
            "last_name": "MARRERO-SERRA",
            "middle_name": "MARIELA",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.