Organization Active NPI

Is Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Caguas, PR
National Provider Identifier
1508523762
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
IS ENDOCRINOLOGY LLC
Practice address
Urb Professional Center Building
2 Carr Munoz Rivera Esquina Goyco Ofi 310
Caguas, PR 00725
Phone
(787) 399-9121
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Ivan a Alexander Serrano Santiago, MD
Title
Owner
Phone
(787) 399-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

Urb Professional Center Building
2 Carr Munoz Rivera Esquina Goyco Ofi 310
Caguas, PR 00725

Mailing address

94 Ramal 842 Apt 127
San Juan, PR 00926-3908

Other practice location 1

CARR 172 CAGUAS a Cidra
Building B Suite B6
Caguas, PR 00725
Phone (787) 753-0550 ext. 2350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016000335 PR Part B Supplier - Clinic/Group Practice 7416489430 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1508523762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RAMAL 842 APT 127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PROFESSIONAL CENTER BUILDING",
            "address_2": "2 CARR MUNOZ RIVERA ESQUINA GOYCO OFI 310",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-399-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 172 CAGUAS a Cidra",
            "address_2": "Building B Suite B6",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-753-0550 x2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IS ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "SERRANO SANTIAGO",
        "authorized_official_first_name": "IVAN A",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-399-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "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 Aug 26, 2024; 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.