Active NPI
Angel E. Diaz Serrano, M.D.
- General Practice Physician
- Cayey, PR
National Provider Identifier
1184693772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14419
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400229 | Other | PR | MEDICARE Y MUCHO MAS |
| 84750DI | Other | PR | TRIPLE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Aibonito, PR
- NPI 1669680054
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.