Active NPI
Mayraliz Serrano Decos, AUD
- Audiologist
- San Juan, PR
National Provider Identifier
1881601326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 570
- Practice address
- 1712 Calle Parana
Urb El Cerezal
San Juan, PR 00926-3148 - Phone
- (787) 755-0707
- Fax
- (787) 755-0707
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 570 | PR | Primary |
Addresses
Primary practice location
1712 Calle Parana
Urb El Cerezal
San Juan, PR 00926-3148
Mailing address
La Marina 4 R 54 Fidela Cruz St.
San Juan, PR 00926-7544
Phone (787) 755-0707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000051 | PR | Practitioner - Qualified Audiologist | 2466406079 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283558400000",
"number": "1881601326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA MARINA 4 R 54 FIDELA CRUZ ST.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267544",
"telephone_number": "787-755-0707",
"fax_number": "787-755-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 CALLE PARANA",
"address_2": "URB EL CEREZAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263148",
"telephone_number": "787-755-0707",
"fax_number": "787-755-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO DECOS",
"first_name": "MAYRALIZ",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2010-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.