Active NPI
Marriliz Serrano Mendez, BSN
- General Practice Registered Nurse
- Moca, PR
National Provider Identifier
1154894418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 82612
- Practice address
- Moca Professional Plaza Pr111 Int PR 110 KM 14.5
Moca, PR 00676 - Phone
- (787) 641-0773
- NPI assigned
- Jan 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 82612 | PR | Primary |
Addresses
Primary practice location
Moca Professional Plaza Pr111 Int PR 110 KM 14.5
Moca, PR 00676
Mailing address
Moca Professional Plaza Pr111 Int PR 110 KM 14.5
Moca, PR 00676
Phone (787) 641-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6014471 | Medicaid | PR |
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82612 | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1154894418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MOCA PROFESSIONAL PLAZA PR111 INT PR 110 KM 14.5",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-641-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOCA PROFESSIONAL PLAZA PR111 INT PR 110 KM 14.5",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-641-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO MENDEZ",
"first_name": "MARRILIZ",
"name_prefix": "Miss",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "82612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6014471",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
- Arlene Santiago Colon, SLP
- Merary Adaileene Santiago Hernandez
- Lisa I Schmidt
- Sdim Therapy Group Corp
- Serenamente Holistico CSP
- Ana Everedith Serrano, MD
- Servicios de Anestesia Hospital San Carlos Borromeo
- Servicios de Salud del Oeste, LLC
- Servicios Hospitalistas San Carlos Borromeo
- Servicios Terapeuticos Integrados Yackny
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.