Healthcare Provider Details

I. General information

NPI: 1851934129
Provider Name (Legal Business Name): LILLIANA MARIE SERRANO ARROYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 AVE TITO CASTRO STE 503
PONCE PR
00716-4721
US

IV. Provider business mailing address

K3 CALLE JEFFERSON
GUAYNABO PR
00969-3815
US

V. Phone/Fax

Practice location:
  • Phone: 787-407-8741
  • Fax:
Mailing address:
  • Phone: 787-844-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number023261
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: