Individual provider Active NPI

Eileen Zayas Serrano, M.D.

  • Family Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1811904667
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13929 Issued in PR
Practice address
Plaza Caparra Shopping Center
Suite 210-a Roosevelt Ave & Parkside St
Guaynabo, PR 00968
Phone
(787) 298-2893
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13929 PR Primary

Addresses

Primary practice location

Plaza Caparra Shopping Center
Suite 210-a Roosevelt Ave & Parkside St
Guaynabo, PR 00968

Mailing address

PO Box 367373
San Juan, PR 00936-7373
Phone (787) 298-2893

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000147 PR Practitioner - Family Practice 2163423922 Reassigns benefits to 1 organization
Practice locations: Castaner, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health PSC CurrentSince May 1, 2016 Accepting new patients

Locations

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1811904667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367373",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367373",
            "telephone_number": "787-298-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA CAPARRA SHOPPING CENTER",
            "address_2": "SUITE 210-A ROOSEVELT AVE & PARKSIDE ST",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-298-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS SERRANO",
        "first_name": "EILEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.