Individual provider Active NPI

Mineira Isabel Serrano Morales, PHD

  • Counseling Psychologist
  • San Sebastian, PR
National Provider Identifier
1316950900
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
67 Calle Pavia Fernandez
San Sebastian, PR 00685-2207
Phone
(877) 920-1310
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

67 Calle Pavia Fernandez
San Sebastian, PR 00685-2207

Mailing address

HC 06 Box 133040
San Sebastian, PR 00685-6306
Phone (787) 920-1310

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000308 PR Practitioner - Clinical Psychologist 4183795347 Reassigns benefits to 1 organization
Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Balance Emocional LLC Psychologist CurrentSince Feb 8, 2022 Accepting new patients

Locations

67 Calle Pavia Fernandez
San Sebastian, PR 00685
Phone (787) 517-2024

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1316950900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 06 BOX 133040",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006856306",
            "telephone_number": "787-920-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE PAVIA FERNANDEZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852207",
            "telephone_number": "877-920-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO MORALES",
        "first_name": "MINEIRA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.