Individual provider Active NPI

Hector Miguel Alonso-Serra, MD

  • Emergency Medicine Physician
  • Trujillo Alto, PR
National Provider Identifier
1285615856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10774 Issued in PR
Practice address
Pg122 Via Arcoiris
Urb. Pacifica
Trujillo Alto, PR 00976-6154
Phone
(787) 307-2610
NPI assigned
Nov 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10774 PR Primary

Addresses

Primary practice location

Pg122 Via Arcoiris
Urb. Pacifica
Trujillo Alto, PR 00976-6154

Mailing address

Pg122 Via Arcoiris
Urb. Pacifica
Trujillo Alto, PR 00976-6154
Phone (787) 307-2610

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10774PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285615856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PG122 VIA ARCOIRIS",
            "address_2": "URB. PACIFICA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766154",
            "telephone_number": "787-307-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PG122 VIA ARCOIRIS",
            "address_2": "URB. PACIFICA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766154",
            "telephone_number": "787-307-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO-SERRA",
        "first_name": "HECTOR",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "10774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.