Individual provider Active NPI

Isaias Serrano, RPH

  • Pharmacist
  • Rio Grande, PR
National Provider Identifier
1194293563
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3405 Issued in PR
Practice address
Urb Alturas de Rio Grande Carr 3
Local HH17-18
Rio Grande, PR 00745
Phone
(787) 887-5147
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3405 PR Primary

Addresses

Primary practice location

Urb Alturas de Rio Grande Carr 3
Local HH17-18
Rio Grande, PR 00745

Mailing address

PO Box 1646
Rio Grande, PR 00745-1646
Phone (787) 379-4545

Other practice location 1

Centro Comercial Villas
Rio Grande, PR 00745
Phone (787) 887-3060

Other practice location 2

Carr 3 KM 26.3 Entrada Coco Beach
Rio Grande, PR 00745
Phone (787) 888-1888

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3405PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1194293563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007451646",
            "telephone_number": "787-379-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ALTURAS DE RIO GRANDE CARR 3",
            "address_2": "LOCAL HH17-18",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Comercial Villas",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "00745",
            "country_code": "US",
            "telephone_number": "787-887-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 3 KM 26.3 Entrada Coco Beach",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "00745",
            "country_code": "US",
            "telephone_number": "787-888-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ISAIAS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.