Lillian Teresa Serrano Garcia, M.D. PSYCHIATRIST

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

11429 Issued in PR

Practice address

Font Martello Street #53
Humacao Medical Plaza Suite 101
Humacao, PR 00791

Phone

(787) 285-4320

Fax

(787) 285-4320

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093821951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K9 TOLIMA STREET PARK GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262146",
            "telephone_number": "787-761-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FONT MARTELLO STREET #53",
            "address_2": "HUMACAO MEDICAL PLAZA SUITE 101",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-285-4320",
            "fax_number": "787-285-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO GARCIA",
        "first_name": "LILLIAN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "M.D. PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "11429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "11112-0",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Sepulveda-Abreu, M.D.
• Carmen I Sepulveda, PSYD
• Josean Sepulveda, MD
• Lillian M Sepulveda, RPH
• Serafina Obstetricia Y Ginecologia LLC
• Lourdes Janette Serrano Rivera, PHARNACY TEC
• Adeline Serrano, PSYD
• Evelyn Serrano
• Ines Serrano, BHE
• Jose Manuel Serrano, D.D.S.

• Adult Mental Health Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.