Organization Active NPI

Serafina Obstetricia Y Ginecologia LLC

  • Obstetrics & Gynecology Physician
  • Humacao, PR
National Provider Identifier
1962100859
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SERAFINA OBSTETRICIA Y GINECOLOGIA LLC
Practice address
Ryder Memorial Hospital
#355 Calle Font Martelo
Humacao, PR 00791
Phone
(939) 367-2000
Fax
(787) 852-0157
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Carlos Alberto Lazu Arroyo, MDNPI 1558821025
Title
Owner
Phone
(787) 266-0759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

Ryder Memorial Hospital
#355 Calle Font Martelo
Humacao, PR 00791

Mailing address

Urb Mendez A5
Calle Marginal
Yabucoa, PR, PR 00767
Phone (939) 367-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230714000599 PR Part B Supplier - Clinic/Group Practice 9638539257 Receives reassigned benefits from 2 practitioners
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1962100859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MENDEZ A5",
            "address_2": "CALLE MARGINAL",
            "city": "YABUCOA, PR",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "939-367-2000",
            "fax_number": "787-852-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RYDER MEMORIAL HOSPITAL",
            "address_2": "#355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "939-367-2000",
            "fax_number": "787-852-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAFINA OBSTETRICIA Y GINECOLOGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LAZU ARROYO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-266-0759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.

Verify at the official NPI Registry.