Active NPI
Yajaira M Serrano Rosario, MSW
- Clinical Social Worker
- Bo Monacillos Centro Medico, PR
National Provider Identifier
1881268704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11871
- Practice address
- Hospital Oncologico
Calle 5 Casa K18
Bo Monacillos Centro Medico, PR 00935 - Phone
- (787) 763-4149
- Fax
- (787) 999-4514
- NPI assigned
- May 15, 2021
- Last updated
- May 15, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11871 | PR | Primary |
Addresses
Primary practice location
Hospital Oncologico
Calle 5 Casa K18
Bo Monacillos Centro Medico, PR 00935
Mailing address
Cond. Beverly Hills Court
100 Carmen Hills Drive Apt 142
San Juan PR, PR 00926
Phone (939) 283-9999
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11871 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1881268704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. BEVERLY HILLS COURT",
"address_2": "100 CARMEN HILLS DRIVE APT 142",
"city": "SAN JUAN PR",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-283-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL ONCOLOGICO",
"address_2": "CALLE 5 CASA K18",
"city": "BO MONACILLOS CENTRO MEDICO",
"state": "PR",
"postal_code": "00935",
"telephone_number": "787-763-4149",
"fax_number": "787-999-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "YAJAIRA M",
"middle_name": "SERRANO",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2021-05-15",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.