Iza M Serrano-Lugo

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006914 Issued in PR

Practice address

Ave Boulevard Ee10 Local #3
6Ta Seccion Levittown
Toa Baja, PR 00949-0000

Phone

(787) 314-9523

NPI assigned

Jun 4, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Salubritas LLC

  • Adult Mental Health Clinic/Center
  • Toa Baja, PR
  • NPI 1366285496
  NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1306687280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CALLE CORAL APT 432",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493057",
            "telephone_number": "787-314-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD EE10 LOCAL #3",
            "address_2": "6TA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "787-314-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-LUGO",
        "first_name": "IZA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "006914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Miguel Santos Sr.
• Yaidimar M Santos, M.A
• Heyda Gisela Segura Gonzalez
• Daniel Angel Semprit II, MSW
• Seniors Medical Supplies, Inc.
• Neritza Marie Serrano, CSW
• Yomaira Serrano
• Servicios Medicos Especializadosde Levittown CSP
• Yolanda Sierra Quinones, M.D.
• Ivelisse Sierra, RPH

• Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.