Active NPI
Juan A Serrano Sosa, RD, LND
- Registered Dietitian
- Caguas, PR
National Provider Identifier
1467983551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86017207
- Practice address
- HC 7 Box 33334
Caguas, PR 00727-9329 - Phone
- (939) 640-5023
- NPI assigned
- Mar 21, 2017
- Last updated
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1947 | PR | |
| Registered Dietitian | 133V00000X | 86017207 | PR | Primary |
Addresses
Primary practice location
HC 7 Box 33334
Caguas, PR 00727-9329
Mailing address
HC 7 Box 33334
Caguas, PR 00727-9329
Phone (939) 640-5023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1947 | PR | MD | General Practice Dentistry |
| 86017207 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Care,LLC | Current | Accepting new patients |
Interoperability endpoints
- juan.serranososa.p1@direct.vitacare.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1437693017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1467983551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 7 BOX 33334",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007279329",
"telephone_number": "939-640-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 7 BOX 33334",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007279329",
"telephone_number": "939-640-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO SOSA",
"first_name": "JUAN",
"middle_name": "A",
"credential": "RD, LND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1947",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "86017207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.