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NPI Code Detail

MEDICARE: LUIS A SERRANO M. D.

MEDICARE:   LUIS A SERRANO  M. D.
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
1207W00000XOphthalmology Physician6176PR

General Provider Information

NPI Number : 1235132713
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS A SERRANO M. D.
Provider Business Mailing Address
First Line : 44 MAYOR ST.
Second Line : ZAMORA BUILDING 1ST. FLOOR
City : PONCE
State : PR
Zip : 00730-3761
Country : US
Telephone Number : 787-848-5353
Fax Number : 787-259-4462
Provider Business Practice Location Address
First Line : 44 MAYOR ST.
Second Line : ZAMORA BUILDING 1ST. FLOOR
City : PONCE
State : PR
Zip : 00730-3761
Country : US
Telephone Number : 787-848-5353
Fax Number : 787-259-4462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/08/2007

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Directions to “ LUIS A SERRANO M. D.” Practice Location

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