Individual provider Active NPI

Dahil Rocio Serrano-Lopez, DMD

  • Dentist
  • Camuy, PR
National Provider Identifier
1639197999
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1876 Issued in PR
Practice address
152 Ave Munoz Rivera Oeste
Suite 1
Camuy, PR 00627-2309
Phone
(787) 262-6116
Fax
(787) 262-6116
NPI assigned
Jul 17, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1876 PR Primary

Addresses

Primary practice location

152 Ave Munoz Rivera Oeste
Suite 1
Camuy, PR 00627-2309

Mailing address

PO Box 455
Camuy, PR 00627-0455
Phone (787) 262-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825004123 PR Order and Referring Only - DentistPractitioner - Dentist 1254647001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1876PRMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1639197999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270455",
            "telephone_number": "787-262-6116",
            "fax_number": "787-262-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 AVE MUNOZ RIVERA OESTE",
            "address_2": "SUITE 1",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272309",
            "telephone_number": "787-262-6116",
            "fax_number": "787-262-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-LOPEZ",
        "first_name": "DAHIL",
        "middle_name": "ROCIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.