Active NPI
Carlos Roberto Rodriguez Serrano
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1265168934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15902
- Practice address
- Riberas de Bucana Calle Rupia U3
Ponce, PR 00730 - Phone
- (787) 298-2946
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- No
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 Social Worker | 1041C0700X | 15902 | PR | Primary |
Addresses
Primary practice location
Riberas de Bucana Calle Rupia U3
Ponce, PR 00730
Mailing address
Calle Tauro F12 Campo Alegre
Ponce, PR 00716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15902 | PR | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1265168934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE TAURO F12 CAMPO ALEGRE",
"city": "PONCE",
"state": "PR",
"postal_code": "00716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RIBERAS DE BUCANA CALLE RUPIA U3",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-298-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ SERRANO",
"first_name": "CARLOS",
"middle_name": "ROBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Michaell O Rodriguez Rosa
- Daniel Eduardo Rodriguez Rossello, MD
- Carlos Manuel Rodriguez Roth, P.A.
- Marileana Rodriguez Ruiz
- Eduardo Rodriguez Santiago, 1562B
- Jetsen Amaury Rodriguez Silva, MD
- Kathiayari Rodriguez Silva, PSYD
- Araceli Rodriguez Soto, MD
- Nashali Ivette Rodriguez Soto
- Genesis Rodriguez Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.