Active NPI
Nelson Serrano, M.D.
- General Practice Physician
- Corozal, PR
National Provider Identifier
1770525784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8284
- Practice address
- 7 Calle Gandara
Corozal, PR 00783-1984 - Phone
- (787) 859-4377
- Fax
- (787) 859-0396
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8284 | PR | Primary |
Addresses
Primary practice location
7 Calle Gandara
Corozal, PR 00783-1984
Mailing address
PO Box 1826
Corozal, PR 00783-1826
Phone (787) 859-4377
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126000345 | PR | Practitioner - General Practice | 0143409946 | Practice locations: Corozal, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Puerto Rico School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 1826
Corozal, PR 00783
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8284 | PR | MD | General Practice 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": "1547769600000",
"number": "1770525784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1826",
"city": "COROZAL",
"state": "PR",
"postal_code": "007831826",
"telephone_number": "787-859-4377",
"fax_number": "787-859-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CALLE GANDARA",
"city": "COROZAL",
"state": "PR",
"postal_code": "007831984",
"telephone_number": "787-859-4377",
"fax_number": "787-859-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.