Individual provider Active NPI

Juan A Serrano Sosa, RD, LND

  • Registered Dietitian
  • Caguas, PR
National Provider Identifier
1467983551
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86017207 Issued in PR
Practice address
HC 7 Box 33334
Caguas, PR 00727-9329
Phone
(939) 640-5023
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200924003091 PR Practitioner - Registered Dietitian Or Nutrition Professional 2466871413 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1947PRMDGeneral Practice Dentistry
86017207PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Care,LLC CurrentSince Jun 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.