Active NPI
Suheily Serrano Marrero, PSYD
- Clinical Psychologist
- Vega Baja, PR
National Provider Identifier
1366212896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7872
- Practice address
- 540 Ave Jardines
Vega Baja, PR 00693-3986 - Phone
- (787) 454-4419
- NPI assigned
- Jan 5, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7872 | PR | Primary |
Addresses
Primary practice location
540 Ave Jardines
Vega Baja, PR 00693-3986
Mailing address
540 Ave Jardines
Vega Baja, PR 00693-3986
Phone (787) 454-4419
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 |
|---|---|---|---|
| 7872 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Explora LLC | Clinical | Current | Accepting new patients |
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": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1366212896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 AVE JARDINES",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006933986",
"telephone_number": "787-454-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 AVE JARDINES",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006933986",
"telephone_number": "787-454-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO MARRERO",
"first_name": "SUHEILY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
- Eneisha I Santiago-Velez, PHARM D
- Johalys Marie Santiago
- Rose M Santiago
- Stephanie Santos Monserrate, BS
- Josue Segarra Lucena, MD
- Sonia Valentin Serrano
- Servicios Profesionales Privado (Servicio Domesticos)
- Wendy R Shaw Figueroa, OD
- Faten Shayeb Barakat, PHARMD
- Shirley Chavez Santiago (the key of life ambulance service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.