Active NPI
Magaly Serrano, M.A.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1245512698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3060
- Practice address
- Condominio Ada Ligia, Suite 408 1452 Ave. Ashford
San Juan, PR 00907 - Phone
- (787) 368-7123
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3060 | PR | Primary |
Addresses
Primary practice location
Condominio Ada Ligia, Suite 408 1452 Ave. Ashford
San Juan, PR 00907
Mailing address
Condominio Florimar Gardens
Apt G 402
San Juan, PR 00926-5249
Phone (787) 368-7123
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3060 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1245512698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO FLORIMAR GARDENS",
"address_2": "APT G 402",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265249",
"telephone_number": "787-368-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO ADA LIGIA, SUITE 408 1452 AVE. ASHFORD",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-368-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "MAGALY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.