Individual provider Active NPI

Yan Serrano Rosado Sr., MSW

  • Clinical Social Worker
  • Sabana Grande, PR
National Provider Identifier
1750879888
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13867 Issued in PR
Practice address
53 Calle 25 de Julio
Sabana Grande, PR 00637-1705
Phone
(787) 455-7608
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13867 PR Primary

Addresses

Primary practice location

53 Calle 25 de Julio
Sabana Grande, PR 00637-1705

Mailing address

8 Calle Barnes
Ponce, PR 00730-3120
Phone (787) 455-7608

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

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1750879888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE BARNES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303120",
            "telephone_number": "787-455-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE 25 DE JULIO",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371705",
            "telephone_number": "787-455-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO ROSADO",
        "first_name": "YAN",
        "name_prefix": "Prof.",
        "name_suffix": "Sr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.