Active NPI
Emely Serrano
- General Practice Physician
- Arecibo, PR
National Provider Identifier
1285412841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23537
- Practice address
- Carr 129, KM 1.0 Av. San Luis, Arecibo 00613
Arecibo, PR 00613 - Phone
- (787) 650-7272
- NPI assigned
- Sep 15, 2023
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23537 | PR | Primary |
Addresses
Primary practice location
Carr 129, KM 1.0 Av. San Luis, Arecibo 00613
Arecibo, PR 00613
Mailing address
Carr 129, KM 1.0 Av. San Luis, Arecibo 00613
Arecibo, PR 00613
Phone (787) 650-7272
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa Los Santos Clinic, LLC | Multi-Specialty | Current | Accepting new patients |
| Villa Los Santos Clinic, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1285412841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 129, KM 1.0 AV. SAN LUIS, ARECIBO 00613",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-650-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129, KM 1.0 AV. SAN LUIS, ARECIBO 00613",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-650-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "EMELY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "23537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.