Individual provider Active NPI

Laura Cristina Rivera Serrano, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1497419022
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22573 Issued in PR
Practice address
1005 Paseo Degetau
Caguas, PR 00727-2923
Phone
(787) 375-4566
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22573 PR Primary

Addresses

Primary practice location

1005 Paseo Degetau
Caguas, PR 00727-2923

Mailing address

1005 Paseo Degetau
Caguas, PR 00727-2923
Phone (787) 375-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1497419022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PASEO DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272923",
            "telephone_number": "787-375-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PASEO DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272923",
            "telephone_number": "787-375-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SERRANO",
        "first_name": "LAURA",
        "middle_name": "CRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.