Individual provider Active NPI

Carlos E Mendez Serrano, MD

  • Hematology & Oncology Physician
  • Caguas, PR
National Provider Identifier
1861541914
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
17775 Issued in PR
Practice address
Luis Munoz Marin Ave.
Piso G, Hima San Pablo Caguas
Caguas, PR 00726-5429
Phone
(787) 744-8686
Fax
(787) 258-1125
NPI assigned
Jan 9, 2007
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 17775 PR Primary

Addresses

Primary practice location

Luis Munoz Marin Ave.
Piso G, Hima San Pablo Caguas
Caguas, PR 00726-5429

Mailing address

HC-02 Box 19505
Cabo Rojo, PR 00623-9721
Phone (787) 507-7751

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
I20100819000423 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395879878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hematology and Oncology of Puerto RicoGroup PAC ID 7911068796, 6 clinicians

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
FL G
Caguas, PR 00725-6184
Phone (787) 744-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.03 of 100Reported as group
Quality
40.6
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology and Oncology of Puerto Rico Hematology & Oncology CurrentSince Feb 1, 2012 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

500 Ave Degetau
Ste 515
Caguas, PR 00725

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1861541914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-02 BOX 19505",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006239721",
            "telephone_number": "787-507-7751",
            "fax_number": "787-200-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ MARIN AVE.",
            "address_2": "PISO G, HIMA SAN PABLO CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265429",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ SERRANO",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "17775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.