Angelys Serrano

Primary specialty

Dietary ManagerTaxonomy code 132700000X

License

1925 Issued in PR

Practice address

Ave Ponce de Leon # 715
Nutrition Dept.
San Juan, PR 00907-3907

Phone

(787) 758-2000

Fax

(787) 771-7951

NPI assigned

May 1, 2015

Last updated

May 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Angelys M Serrano Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1245617935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 715",
            "address_2": "NUTRITION DEPT.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073907",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 715",
            "address_2": "NUTRITION DEPT.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073907",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ANGELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "PR",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETICIAN'S LICENSE",
            "identifier": "1925",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELYS",
            "last_name": "SERRANO",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "LND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jared Manuel Serrano Sierra
• Gilberto Serrano-Ayala, BSW
• Jessica Serrano-Goytia, PH.D.
• Glorimar Serrano-Rosario, D.C.
• Andrea Priscila Serrano
• Arleen Serrano
• Carmen Serrano, M.D.
• Dayanara I Serrano, MSW
• Edna Serrano, MD
• Glorimar Serrano

• Dietary Manager in San Juan, PR
• Providers in San Juan, PR by specialty
• Dietary Manager in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.