Active NPI
Daniel Serrano Chervony, MD
- General Practice Physician
- San German, PR
National Provider Identifier
1871074013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21073
- Practice address
- 8 Calle Javilla
San German, PR 00683 - Phone
- (787) 892-5300
- NPI assigned
- Aug 26, 2018
- Last updated
- Aug 26, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPM Foundation Inc | Current | Accepting new patients | |
| HPM Foundation Inc | General Practice | Current | Accepting new patients |
| Southwest Health Corp Hospital Metropolitano San German | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1316167661
General Practice
-
dba HPM Foundation Inc. HPM Foundation Inc. DBA FARMACIA CCB
- Pharmacy
- San Juan, PR
- NPI 1881821874
-
- Emergency Care Clinic/Center
- Sabana Grande, PR
- NPI 1174140586
-
dba Hospital Metropolitano de San German
- General Acute Care Hospital
- San German, PR
- NPI 1063435782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.