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NPI Code Detail

MEDICARE: ALFONSO SERRANO MD

MEDICARE:   ALFONSO  SERRANO  MD
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
1207V00000XObstetrics & Gynecology Physician9334PR

General Provider Information

NPI Number : 1285630350
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFONSO SERRANO MD
Provider Business Mailing Address
First Line : EST-GRAN-VISTA # 1 SAN-FRANCISCO
Second Line :
City : GURABO
State : PR
Zip : 00778-5085
Country : US
Telephone Number : 787-736-2224
Fax Number :
Provider Business Practice Location Address
First Line : COLON # 53
Second Line :
City : SAN-LORENZO
State : PR
Zip : 00754
Country : US
Telephone Number : 787-736-2224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 03/19/2012

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Directions to “ ALFONSO SERRANO MD” Practice Location

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