Individual provider Active NPI

Betsy Yazmin Perez Serrano, M.D.

  • General Practice Physician
  • Las Piedras, PR
National Provider Identifier
1144606633
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19151 Issued in PR
Practice address
20 Calle Jose C. Barbosa
Las Piedras, PR 00771-9788
Phone
(787) 912-0505
NPI assigned
Aug 6, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19151 PR Primary

Addresses

Primary practice location

20 Calle Jose C. Barbosa
Las Piedras, PR 00771-9788

Mailing address

HC 2 Box 7236
Las Piedras, PR 00771-9788
Phone (787) 981-4118

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
I20151005002211 PR Practitioner - General Practice 2365750759 Practice locations: Las Piedras, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19151PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1144606633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7236",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719788",
            "telephone_number": "787-981-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE JOSE C. BARBOSA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719788",
            "telephone_number": "787-912-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SERRANO",
        "first_name": "BETSY",
        "middle_name": "YAZMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.