MEDICARE: DRA. JENNIFER M. SERRANO RIOS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	235Z00000X	Speech-Language Pathologist
3	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1275357584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRA. JENNIFER M. SERRANO RIOS LLC

Provider Business Mailing Address
First Line	:	361 CALLE TOPACIO
Second Line	:	URB. MANSIONES DEL CARIBE
City	:	HUMACAO
State	:	PR
Zip	:	00791
Country	:	US
Telephone Number	:	787-940-1480
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 EDIFICIO MEDICO SANTA CRUZ
Second Line	:	CALLE SANTA CRUZ SUITE 303
City	:	BAYAMON
State	:	PR
Zip	:	00691-6919
Country	:	US
Telephone Number	:	787-940-1480
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. JENNIFER MARIE SERRANO RIOS
Credential	:	PSYD
Telephone Number	:	787-940-1480

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	12/31/2024

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