Individual provider Active NPI

Sybelle M Serrano Santiago, MD

  • Allergy & Immunology Physician
  • Hato Rey, PR
National Provider Identifier
1205330735
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
22337 Issued in PR
Practice address
553 Calle Cabo H Alverio
Ext Roosevelt
Hato Rey, PR 00918-3725
Phone
(787) 764-4309
NPI assigned
Mar 20, 2018
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 22337 PR Primary
Internal Medicine Physician 207R00000X 22337 PR

Addresses

Primary practice location

553 Calle Cabo H Alverio
Ext Roosevelt
Hato Rey, PR 00918-3725

Mailing address

PMB 900 PO Box 144035
San Juan, PR 00614
Phone (787) 764-4309

Other practice location 1

Bo Monacillos Carr 22 University District Hospital
San Juan, PR 00935-3201
Phone (787) 758-2525 ext. 1825

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
I20230830001719 PR Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4284097890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VD Allergy Institute LLCGroup PAC ID 9638530876, 2 clinicians

Practice addresses (Care Compare)

553 Calle Cabo H Alverio
San Juan, PR 00918-3725
Phone (787) 764-4309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22337PRMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VD Allergy Institute LLC. Allergy & Immunology CurrentSince Aug 1, 2023 Accepting new patients
Centro de Alergia E Inmunologia del Caribe LLC Allergy & Immunology PastSince Sep 1, 2023 Accepting new patients

Locations

553 Calle Cabo H Alverio
San Juan, PR 00918
Phone (787) 764-4309

Organizations & group practices 2

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1205330735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 900 PO BOX 144035",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-764-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 CALLE CABO H ALVERIO",
            "address_2": "EXT ROOSEVELT",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "787-764-4309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo Monacillos Carr 22 University District Hospital",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009353201",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO SANTIAGO",
        "first_name": "SYBELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "22337",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.