Individual provider Active NPI

Miguel Angel Serrano-Alvarez, D.C.

  • Chiropractor
  • Carolina, PR
National Provider Identifier
1508963067
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
419 Issued in PR
Practice address
Ave Iturregui Oa-3
Cty Club
Carolina, PR 00982
Phone
(787) 762-5991
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 419 PR Primary

Addresses

Primary practice location

Ave Iturregui Oa-3
Cty Club
Carolina, PR 00982

Mailing address

PO Box 79571
Carolina, PR 00984-9571
Phone (787) 762-5991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061023000275 PR Practitioner - Chiropractic 1254338999 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Iturregui
3 Country Club
Carolina, PR 00983
Phone (787) 762-5991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
419PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutions Chiropractic & Rehab Chiropractor CurrentSince Nov 9, 2023 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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1508963067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79571",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849571",
            "telephone_number": "787-762-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ITURREGUI OA-3",
            "address_2": "CTY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-ALVAREZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.