MEDICARE: SERRANO'S MEDICAL TRANSPORTATION

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1659905628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERRANO'S MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	3876 VICTORIA DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-4926
Country	:	US
Telephone Number	:	305-240-7782
Fax Number	:

Provider Business Practice Location Address
First Line	:	3876 VICTORIA DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-4926
Country	:	US
Telephone Number	:	702-416-5853
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAER SERRANO
Credential	:
Telephone Number	:	702-416-5853

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	02/27/2020

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