Individual provider Active NPI

Maria Catalina Serrano, M.D.

  • Pediatric Cardiology Physician
  • Miami Lakes, FL
National Provider Identifier
1629203781
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME113117 Issued in FL
Practice address
7755 NW 146TH St
Suite 4G
Miami Lakes, FL 33016-1559
Phone
(305) 823-3590
Fax
(305) 823-3591
NPI assigned
May 19, 2009
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN13579 FL
Pediatric Cardiology Physician 2080P0202X ME113117 FL Primary

Addresses

Primary practice location

7755 NW 146TH St
Suite 4G
Miami Lakes, FL 33016-1559

Mailing address

7755 NW 146TH St
Suite 4G
Miami Lakes, FL 33016-1559
Phone (305) 823-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113117FLMDPediatric Cardiology Physician
TRN13579FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1629203781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 NW 146TH ST",
            "address_2": "SUITE 4G",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "305-823-3590",
            "fax_number": "305-823-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 NW 146TH ST",
            "address_2": "SUITE 4G",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "305-823-3590",
            "fax_number": "305-823-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "MARIA",
        "middle_name": "CATALINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN13579",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME113117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.