Renan Serracante, ORTHODONTIC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

625 Issued in PR

Practice address

10 Calle Mercedita Serralles
Aibonito, PR 00705-3902

Phone

(787) 735-4949

Fax

(787) 735-1645

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619193349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050065",
            "telephone_number": "787-735-4949",
            "fax_number": "787-735-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE MERCEDITA SERRALLES",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053902",
            "telephone_number": "787-735-4949",
            "fax_number": "787-735-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRACANTE",
        "first_name": "RENAN",
        "name_prefix": "Dr.",
        "credential": "ORTHODONTIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharibel Santiago Serrano, PHL
• Luis Raul Santiago-Pagan, M.D.
• Evelio Santiago, CPL
• Brunymar Santos Colon, LCSW
• Yolanda Santos Luna, PT
• Frances Nicole Serrano Martinez, PHARMD
• Carmen Enid Sierra, RPH
• Juan Ramon Silva, M.D.
• Carmen M Solivan Rivera
• Yaima Soto Padilla, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.