Active NPI
John Manuel Serra Lopez
- Speech/Language/Hearing Specialist/Technologist
- Aguada, PR
National Provider Identifier
1427612167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- 6075
- Practice address
- Carr 414 Int 4412 KM 3.8
Bo Cruces
Aguada, PR 00602 - Phone
- (939) 267-4166
- NPI assigned
- Apr 29, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 6075 | PR | Primary |
Addresses
Primary practice location
Carr 414 Int 4412 KM 3.8
Bo Cruces
Aguada, PR 00602
Mailing address
HC 57 Box 10135
Aguada, PR 00602
Phone (939) 267-4166
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 |
|---|---|---|---|
| 6075 | PR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1427612167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 10135",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "939-267-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 414 INT 4412 KM 3.8",
"address_2": "BO CRUCES",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "939-267-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA LOPEZ",
"first_name": "JOHN",
"middle_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "PR",
"license": "6075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.