Active NPI
Isaac Andres Serrano
- Behavior Technician
- Chimayo, NM
National Provider Identifier
1871126532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- County Rd 102 Houes 58B
Chimayo, NM 87522 - Phone
- (505) 930-1589
- NPI assigned
- Feb 20, 2020
- Last updated
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NM | Primary |
Addresses
Primary practice location
County Rd 102 Houes 58B
Chimayo, NM 87522
Mailing address
PO Box 196
Santa Cruz, NM 87567-0196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1871126532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 196",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875670196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COUNTY RD 102 HOUES 58B",
"city": "CHIMAYO",
"state": "NM",
"postal_code": "87522",
"telephone_number": "505-930-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "ISAAC",
"middle_name": "ANDRES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chimayo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.