Mildred Livette Serrano Porrata, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17731 Issued in PR

Practice address

Carretera 123 KM 9.8
Centro Comercial Las Delicias
Ponce, PR 00730-0000

Phone

(787) 607-8576

Fax

(787) 841-4326

NPI assigned

Sep 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1497089767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CALLE PROTESTANTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007302952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 123 KM 9.8",
            "address_2": "CENTRO COMERCIAL LAS DELICIAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300000",
            "telephone_number": "787-607-8576",
            "fax_number": "787-841-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO PORRATA",
        "first_name": "MILDRED",
        "middle_name": "LIVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-19",
        "last_updated": "2022-06-09",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• German Leroy Serrano Cruet, M.D,
• Paul Rafael Serrano Lasanta, MS
• Ana Gabriela Serrano Lopez, MD
• Emily Cristal Serrano Lopez
• Patricia Mercedes Serrano Lopez, DMD
• Sebastian Edniel Serrano Prestamo
• Myrta Yahaira Serrano Velazquez, CSW
• Mariely Serrano-Mercado
• Raymie Serrano-Pagan
• Daniel Alexander Serrano

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.