Jose Manuel Serrano, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D1972 Issued in PR

Practice address

Barrio Pitahaya Carr 924 KM3.3
Humacao, PR 00791

Phone

(787) 955-2901

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1558330753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MANSIONES DE LOS ARTESANOS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007714694",
            "telephone_number": "787-473-6814",
            "fax_number": "787-473-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO PITAHAYA CARR 924 KM3.3",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-955-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14229",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "D1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Teresa Serrano Garcia, M.D. PSYCHIATRIST
• Lourdes Janette Serrano Rivera, PHARNACY TEC
• Adeline Serrano, PSYD
• Evelyn Serrano
• Ines Serrano, BHE
• Pablo Serrano, M.D.
• Servicios Anatomico Patologicos Oriental, Inc.
• Servicios de Terapia Fisica Aic, CSP
• Servicios Dentales PSC
• Servicios Medicos RRG & Asoc PSC

• Dentist in Humacao, PR
• Providers in Humacao, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.