Individual provider Active NPI

Daniel Serrano Chervony, MD

  • General Practice Physician
  • San German, PR
National Provider Identifier
1871074013
Registry record updated Aug 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21073 Issued in PR
Practice address
8 Calle Javilla
San German, PR 00683
Phone
(787) 892-5300
NPI assigned
Aug 26, 2018
Last updated
Aug 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21073 PR Primary

Addresses

Primary practice location

8 Calle Javilla
San German, PR 00683

Mailing address

PO Box 63
San German, PR 00683-0063
Phone (787) 892-5300

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
I20200422000400 PR Practitioner - General Practice 4183054737 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Jan 9, 2020 Accepting new patients
HPM Foundation Inc General Practice CurrentSince Jan 9, 2020 Accepting new patients
Southwest Health Corp Hospital Metropolitano San German PastSince Jul 5, 2020 Accepting new patients
Southwest Health Corp. Past Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915
Phone (787) 604-2908

Organizations & group practices 4

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": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1871074013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830063",
            "telephone_number": "787-892-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE JAVILLA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO CHERVONY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.