Individual provider Active NPI

Frank Rodriguez Serrano, M.D.

  • Pediatric Pulmonology Physician
  • Carolina, PR
National Provider Identifier
1396879227
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
8226 Issued in PR
Practice address
Avenida Sanchez Vilella Antiguo Campo Rico
GK-33
Carolina, PR 00983
Phone
(787) 740-9198
Fax
(787) 474-7346
NPI assigned
Mar 15, 2007
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8226 PR
Pediatric Pulmonology Physician 2080P0214X 8226 PR Primary

Addresses

Primary practice location

Avenida Sanchez Vilella Antiguo Campo Rico
GK-33
Carolina, PR 00983

Mailing address

Urb Tintillo Gardens
Calle 5 H39
Guaynabo, PR 00966
Phone (939) 216-7009

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001203 PR Practitioner - General PracticePractitioner - Pulmonary Disease 4284605536 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pulmonary Disease
Education
University Central del Caribe Escuela de Medicina, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Avenida Sanchez Villegas (Antiguo
Carolina, PR 00983-0111
Phone (787) 740-9198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8226PRMDPediatric Pulmonology Physician

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1396879227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TINTILLO GARDENS",
            "address_2": "CALLE 5 H39",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "939-216-7009",
            "fax_number": "787-474-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA SANCHEZ VILELLA ANTIGUO CAMPO RICO",
            "address_2": "GK-33",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-740-9198",
            "fax_number": "787-474-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SERRANO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "8226",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "PR",
            "license": "8226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.