Clinica de Salud Primaria Dr. Serrano Corporation
Organization Active NPI General Practice Physician · Quebradillas, PR
NPI 1992359707 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1992359707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- CLINICA DE SALUD PRIMARIA DR. SERRANO CORPORATION
- Practice address
- 92 Calle Linares
Quebradillas, PR 00678 - Phone
- (787) 895-7746
- Fax
- (787) 895-7746
- NPI assigned
- Jul 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Jose B Serrano, MD
- Title
- Director
- Phone
- (787) 312-9861
Practitioners 2
-
Jose Serrano-Barrios, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201117002019 | PR | Part B Supplier - Clinic/Group Practice | 1456762756 |
Receives reassigned benefits from 2 practitioners Practice locations: Quebradillas, PR; Camuy, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
92 Calle Linares
Quebradillas, PR 00678
Mailing address
PO Box 1549
Quebradillas, PR 00678
Phone (787) 312-9861
Other providers in Quebradillas, PR
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- Centro Terapeutico Barreto LLC
- Juanetziel Charneco Gonzalez
- Wilnelia Perez Chaves
- Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC
- Clinica Dental California CSP
- Clinica Emociones LLC
- Clinical Laboratory Services of Quebradillas, Inc
- Conexion Innata
All providers in Quebradillas, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.