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NPI Code Detail

MEDICARE: DR. JENITZA SERRANO-FELICIANO MD

MEDICARE: DR. JENITZA SERRANO-FELICIANO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianN1134TX
2207Q00000XFamily Medicine Physician45981AZ
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134303472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENITZA SERRANO-FELICIANO MD
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 320 W PRINCE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-3526
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2007
Last Update Date : 02/24/2026

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