Individual provider Active NPI

Ivan A Serrano Santiago, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Caguas, PR
National Provider Identifier
1952763476
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
22039 Issued in PR
Practice address
Urb Profesional Center Building
2 Carr Munoz Rivera Esquina Goyco Ofi 310
Caguas, PR 00725
Phone
(787) 399-9121
NPI assigned
Mar 23, 2016
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 22039 PR Primary

Addresses

Primary practice location

Urb Profesional Center Building
2 Carr Munoz Rivera Esquina Goyco Ofi 310
Caguas, PR 00725

Mailing address

94 Ramal 842 Apt 127
San Juan, PR 00926-3908
Phone (787) 399-9121

Other identifiers 1

IdentifierTypeStateIssuer
22039OtherPRJUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO

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
I20210818000545 PR Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Other (Physician) 6608160502 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Ave Luis Munoz Marin
Caguas, PR 00725-1984
Phone (787) 399-9121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Is Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2024 Accepting new patients
Anestesia del Caribe,CSP PastSince Aug 1, 2021 Accepting new patients

Locations

2 Calle Munoz Rivera
Ste 310
Caguas, PR 00725
Phone (787) 234-3435

Interoperability endpoints

  • Direct secure messaging: iserranosantiago232526@directhoustonmethodist.org
  • Direct secure messaging: ivan.serranosantiago.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1952763476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RAMAL 842 APT 127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263908",
            "telephone_number": "787-399-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PROFESIONAL CENTER BUILDING",
            "address_2": "2 CARR MUNOZ RIVERA ESQUINA GOYCO OFI 310",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-399-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO SANTIAGO",
        "first_name": "IVAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "22039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO",
            "identifier": "22039",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.