Active NPI
Indianeth Serra, MSW
- Social Worker
- Gurabo, PR
National Provider Identifier
1740056704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15747
- Practice address
- Bo Navarro Calle 2 #167
Gurabo, PR 00778 - Phone
- (787) 427-8685
- NPI assigned
- Nov 30, 2023
- Last updated
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15747 | PR | Primary |
Addresses
Primary practice location
Bo Navarro Calle 2 #167
Gurabo, PR 00778
Mailing address
HC 02 Box 14037
Gurabo, PR 00778
Phone (787) 427-8685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15747 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1740056704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 14037",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-427-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO NAVARRO CALLE 2 #167",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-427-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA",
"first_name": "INDIANETH",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "15747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.