SAMUEL CRUZ SERRANO (NPI# 1750773545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750773545 |
| Entity Type | Individual |
| Full Name | SAMUEL CRUZ SERRANO |
| Practice Address |
8169 Concordia Street Suite 412 Ponce PR 00717-1567 |
| Mailing Address |
Po Box 43 Juana Diaz PR 00795 |
| Practice Telephone | 7872609446 |
| Practice Fax Number | 7872602943 |
| Mailing Telephone | 7872609446 |
| Mailing Fax Number | 7872602943 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
8169 CONCORDIA STREET SUITE 412 |
| City | PONCE |
| State | PR |
| Zip Code | 00717-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592346 | Ayden Nunez | Specialist | 8169 Concordia Street, Cond San Vicente Suite 412, Ponce, PR 00717-1567 | 2019-11-14 |
| 1962950527 | Suzette Velez Noriega | Case Manager/Care Coordinator | 8169 Concordia Street, Suite 412 Cond San Vicente, Ponce, PR 00717-1567 | 2016-09-13 |
| 1417340993 | Edgar Torres Padin | Community Health Worker | 8169 Concordia Street, Cond. San Vicente Suite 412, Ponce, PR 00717 | 2015-03-09 |
| 1144613621 | Jamie Fernanadez Soto | Case Manager/Care Coordinator | 8169 Concordia Street, Cond. San Vicente Suite 412, Ponce, PR 00717 | 2015-03-09 |
| 1053704700 | Lindaliz Rivera De Arce | Case Manager/Care Coordinator | 8169 Concordia Street, Cond. San Vicente Suite 412, Ponce, PR 00717 | 2015-03-05 |
| 1689067340 | Griselly Moll Arce | Pharmacy Technician | 8169 Concordia Street, Cond. San Vicente 412, Ponce, PR 00717 | 2015-03-05 |
| 1740673490 | Madeline Torresb Sanchez | Case Manager/Care Coordinator | 8169 Concordia Street, Cond. San Vicente Suite 412, Ponce, PR 00717 | 2015-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805949 | Yanira Torres | Case Manager/Care Coordinator | 350 Calle Villa Final, 204 Apt Melissa, Ponce, PR 00730 | 2019-01-28 |
| 1972029403 | Paola Perez | Case Manager/Care Coordinator | 8169 Cond San Vicente, Suite 401, Calle Cooncordia, Ponce, PR 00717 | 2017-08-16 |
| 1740706290 | Michael Oscar Pagan Castaner | Case Manager/Care Coordinator | 8169 Cond. San Vicente Suite 412, Calle Concordia, Ponce, PR 00717 | 2017-08-16 |
| 1336662980 | Jean C Castrero | Case Manager/Care Coordinator | G11 Calle I, Nueva Vida El Tuque, Ponce, PR 00728 | 2017-07-25 |
| 1053704437 | Lourdes Rodriguez Hernandez | Case Manager/Care Coordinator | 8169 Comncordia Street Cond. San Vicente, Ponce, PR 00717 | 2015-03-10 |
| 1396138863 | Luis Villanueva Navarro | Case Manager/Care Coordinator | 8169 Concordia Street Con. San Vicente, Ponce, PR 00717 | 2015-03-09 |
| 1821480963 | Marianela De La Cruz Fraticelli | Case Manager/Care Coordinator | 8169 Corcordia Street Suite 412, Ponce, PR 00717-1567 | 2015-02-26 |
| 1689139404 | Walter Crespo | Case Manager/Care Coordinator | 8169 Calle Concordia Suite 412, San Vicente, Ponce, PR 00717 | 2019-02-06 |
| 1720542798 | Nancy Yvette De Jesus | Case Manager/Care Coordinator | 8169 Calle Concordia, Suite 412 Con San Vicente, Ponce, PR 00717-1567 | 2019-01-24 |
| 1700354776 | Valeria Ayala Negron | Case Manager/Care Coordinator | 8169 Calle Concordia Edif San Vicente, Suite 412, Ponce, PR 00717 | 2018-11-08 |
| Find all providers in PONCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.