Individual provider Active NPI

Melanie Quintana Serrano, MD

  • Cardiovascular Disease Physician
  • Camuy, PR
National Provider Identifier
1730532052
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22276 Issued in PR
Practice address
Carr. 2 KM. 94, Bo. Membrillo
Camuy, PR 00627
Phone
(787) 956-0600
NPI assigned
Jul 21, 2016
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 22276 PR Primary

Addresses

Primary practice location

Carr. 2 KM. 94, Bo. Membrillo
Camuy, PR 00627

Mailing address

HC 3 Box 21609
Arecibo, PR 00612-9107
Phone (787) 641-7582

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
I20230821003627 PR Practitioner - Cardiovascular Disease (Cardiology) 2860854981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardio Health CSPGroup PAC ID 6406921881, 5 clinicians

Practice addresses (Care Compare)

Carr 2 KM
94 Bo. Membrillo
Camuy, PR 00627
Phone (787) 956-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22276PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Health CSP Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

3018 Ave Isla Verde
Carolina, PR 00979
Phone (787) 726-7438

Organizations & group practices 1

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1730532052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 21609",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129107",
            "telephone_number": "787-641-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2 KM. 94, BO. MEMBRILLO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-956-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA SERRANO",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "22276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.