MEDICARE: NOEL SERRANO MD PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154010072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOEL SERRANO MD PC

Provider Business Mailing Address
First Line	:	PO BOX 16309
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32245-6309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6117 FAIRLANE DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1807
Country	:	US
Telephone Number	:	707-535-9279
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NOEL SERRANO
Credential	:	MD
Telephone Number	:	707-535-9279

Provider Enumeration Date	:	05/05/2023
Last Update Date	:	01/14/2026

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