Individual provider Active NPI

Glorimar Serrano-Rosario, D.C.

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1497895999
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
341 Issued in PR
Practice address
Condominio Garden Center
University Gardens Local C-5
San Juan, PR 00927
Phone
(787) 792-2254
Fax
(787) 792-1795
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 341 PR Primary

Addresses

Primary practice location

Condominio Garden Center
University Gardens Local C-5
San Juan, PR 00927

Mailing address

Cond Miramar PLZ
15-D
San Juan, PR 00907-3646
Phone (787) 792-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000640 PR Practitioner - Chiropractic 9335303635 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb University Gardens Calle Harvard
Garden Center C5
San Juan, PR 00927-4853
Phone (787) 792-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Consorcio Quiropractico Inc Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1497895999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MIRAMAR PLZ",
            "address_2": "15-D",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073646",
            "telephone_number": "787-792-2254",
            "fax_number": "787-792-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO GARDEN CENTER",
            "address_2": "UNIVERSITY GARDENS LOCAL C-5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-792-2254",
            "fax_number": "787-792-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-ROSARIO",
        "first_name": "GLORIMAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.