Active NPI
Adeline Serrano, PSYD
- Clinical Psychologist
- Humacao, PR
National Provider Identifier
1760238208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6144
- Practice address
- 54 Calle Luis Munoz Marin
Humacao, PR 00791 - Phone
- (787) 988-2028
- NPI assigned
- Apr 25, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6144 | PR | Primary |
Addresses
Primary practice location
54 Calle Luis Munoz Marin
Humacao, PR 00791
Mailing address
54 Calle Luis Munoz Marin
Humacao, PR 00791
Phone (787) 988-2028
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": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1760238208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 CALLE LUIS MUNOZ MARIN",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-988-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CALLE LUIS MUNOZ MARIN",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-988-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "ADELINE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
- Josean Sepulveda, MD
- Lillian M Sepulveda, RPH
- Serafina Obstetricia Y Ginecologia LLC
- Lillian Teresa Serrano Garcia, M.D. PSYCHIATRIST
- Lourdes Janette Serrano Rivera, PHARNACY TEC
- Evelyn Serrano
- Ines Serrano, BHE
- Jose Manuel Serrano, D.D.S.
- Pablo Serrano, M.D.
- Servicios Anatomico Patologicos Oriental, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.