Individual provider Active NPI

Harold Anthony Serrano, M.D.

  • Emergency Medicine Physician
  • Carolina, PR
National Provider Identifier
1710181458
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3445 Issued in TX
Practice address
Ave. 65 de Infanteria
Carolina, PR 00984
Phone
(787) 757-1800
NPI assigned
Jun 14, 2007
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17159 PR
Emergency Medicine Physician 207P00000X P3445 TX Primary

Addresses

Primary practice location

Ave. 65 de Infanteria
Carolina, PR 00984

Mailing address

165 Avenida Hostos, Condominio Monte Norte
Apt. 413
Hato Rey, PR 00918
Phone (281) 435-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100122000765 PR Practitioner - Emergency Medicine 8022150424 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR
I20150804006217 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 8022150424 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3445TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 8, 2022 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 8, 2022 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 20, 2012 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 20, 2012 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 8, 2022 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Access Telecare, PLLC Past Accepting new patients
Singleton Associates PA Past Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine Past Accepting new patients
De Jesus & Matos Medical Imaging Professionals, PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6901 Medical Center Dr
Orange, TX 77630
Phone (281) 417-5003

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 724-3600

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1710181458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 AVENIDA HOSTOS, CONDOMINIO MONTE NORTE",
            "address_2": "APT. 413",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "281-435-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. 65 DE INFANTERIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "HAROLD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-02-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "17159",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.