Individual provider Active NPI

Angel E. Diaz Serrano, M.D.

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1184693772
Registry record updated Jul 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14419 Issued in PR
Practice address
60A Ave Miguel Melendez Munoz
Cayey, PR 00736-4610
Phone
(787) 263-9944
Fax
(787) 263-9944
NPI assigned
Mar 16, 2006
Last updated
Jul 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2017

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 14419 PR Primary

Addresses

Primary practice location

60A Ave Miguel Melendez Munoz
Cayey, PR 00736-4610

Mailing address

HC 4 Box 44374
Caguas, PR 00727-9621
Phone (787) 263-9944

Other identifiers 2

IdentifierTypeStateIssuer
400229OtherPRMEDICARE Y MUCHO MAS
84750DIOtherPRTRIPLE S

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
I20040121000021 PR Practitioner - General Practice 4486556578 Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 A Ave Miguel Melendez Munoz
Cayey, PR 00736-4610
Phone (787) 263-9944

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asomante Medical Group General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500076800000",
    "number": "1184693772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 44374",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279621",
            "telephone_number": "787-263-9944",
            "fax_number": "787-263-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60A AVE MIGUEL MELENDEZ MUNOZ",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364610",
            "telephone_number": "787-263-9944",
            "fax_number": "787-263-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SERRANO",
        "first_name": "ANGEL",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "400229",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "84750DI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.