Active NPI
Jenice Zoeth Serrano, PHARM D
- Pharmacist
- Juana Diaz, PR
National Provider Identifier
1376842088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5452
- Practice address
- 27 Calle Tomas Carrion Maduro
Juana Diaz, PR 00795-1642 - Phone
- (787) 837-2139
- Fax
- (787) 837-5911
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5452 | PR | Primary |
| Pharmacist | 183500000X | PS47064 | FL |
Addresses
Primary practice location
27 Calle Tomas Carrion Maduro
Juana Diaz, PR 00795-1642
Mailing address
La Alhambra #2604 Reina Mora St
Ponce, PR 00716
Phone (787) 366-8265
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47064 | FL | MD | Pharmacist |
| 5452 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Farmacia Juana Diaz | Current | Accepting new patients |
Locations
27 Calle Tomas Carrion Maduro
Juana Diaz, PR 00795
Phone (787) 837-2139
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.
-
- Pharmacy
- Juana Diaz, PR
- NPI 1093712838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1376842088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA ALHAMBRA #2604 REINA MORA ST",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-366-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CALLE TOMAS CARRION MADURO",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007951642",
"telephone_number": "787-837-2139",
"fax_number": "787-837-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "JENICE",
"middle_name": "ZOETH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5452",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47064",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.