Individual provider Active NPI

Jose A Serrano Munoz, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1720020886
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
004028 Issued in PR
Practice address
735 Ponce de Leon Ave.
Torre Medica Auxilio Mutuo Suite 702
San Juan, PR 00917-5029
Phone
(787) 765-7220
Fax
(787) 250-1952
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 004028 PR Primary

Addresses

Primary practice location

735 Ponce de Leon Ave.
Torre Medica Auxilio Mutuo Suite 702
San Juan, PR 00917-5029

Mailing address

Villa Caparra, 30 Calle J
Guaynabo, PR 00966-2202
Phone (787) 923-8498

Other identifiers 1

IdentifierTypeStateIssuer
9-5727OtherPRMEDICARE PTAN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807001234 PR Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology) 2567586225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004028PRMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1720020886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA CAPARRA, 30 CALLE J",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662202",
            "telephone_number": "787-923-8498",
            "fax_number": "787-985-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE.",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 702",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-7220",
            "fax_number": "787-250-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO MUNOZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "004028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9-5727",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.