Individual provider Active NPI

Nexon Alejandro Serrano, DC

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1811739139
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
956 Issued in FL
Practice address
D14 Calle Buen Samaritano
Guaynabo, PR 00966-2025
Phone
(787) 792-3712
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 956 FL Primary

Addresses

Primary practice location

D14 Calle Buen Samaritano
Guaynabo, PR 00966-2025

Mailing address

PO Box 103
Barceloneta, PR 00617-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213000713 PR Practitioner - Chiropractic 8325574361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
956FLMDChiropractor
956PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seba Chiropractic Services P.S.C. Chiropractor CurrentSince Sep 23, 2024 Accepting new patients
Lifestyle Chiropractic Center, LLC PastSince Jun 9, 2024 Accepting new patients

Locations

D14 Calle Buen Samaritano
Guaynabo, PR 00966
Phone (787) 525-5879

Organizations & group practices 2

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1811739139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D14 CALLE BUEN SAMARITANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662025",
            "telephone_number": "787-792-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "NEXON",
        "middle_name": "ALEJANDRO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.