Active NPI
Sussane Serrano, MA. PSY.
- Counseling Psychologist
- Guaynabo, PR
National Provider Identifier
1508270208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5597
- Practice address
- Munoz Rivera Acuarela 3
Koi BLDG. G-10
Guaynabo, PR 00969 - Phone
- (787) 360-0705
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5597 | PR | Primary |
Addresses
Primary practice location
Munoz Rivera Acuarela 3
Koi BLDG. G-10
Guaynabo, PR 00969
Mailing address
475 Calle Trinidad Orellana
Condominio Dos Pinos Apt 12
San Juan, PR 00924
Phone (787) 360-0705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5597 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1508270208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 CALLE TRINIDAD ORELLANA",
"address_2": "CONDOMINIO DOS PINOS APT 12",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-360-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MUNOZ RIVERA ACUARELA 3",
"address_2": "KOI BLDG. G-10",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-360-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "SUSSANE",
"credential": "MA. PSY.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "5597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Myrna Serrano Vicente, 1728P
- Alexandra Maria Serrano
- Francisco F Serrano, MD
- Nexon Alejandro Serrano, DC
- Sheila A Serrano
- Servicios Clinicos Perez Cardona LLC
- Servicios Dentales Especializados, C.S.P.
- Servicios Medicos Psiquiatricos
- Servicios Sociales Clinicos de PR LLC
- Stephanie Marie Seymour Acevedo, MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.