Healthcare Provider Details

I. General information

NPI: 1427960046
Provider Name (Legal Business Name): JOSELYN SERRANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE ROTARIOS 525 SUITE 3
ARECIBO PR
00612
US

IV. Provider business mailing address

URB VISTAS DE CAMUY C 9 CALLE 3
CAMUY PR
00627
US

V. Phone/Fax

Practice location:
  • Phone: 787-245-1075
  • Fax:
Mailing address:
  • Phone: 787-245-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9194
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: