Provider Demographics
NPI:1285615856
Name:ALONSO-SERRA, HECTOR MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:MIGUEL
Last Name:ALONSO-SERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PG122 VIA ARCOIRIS
Mailing Address - Street 2:URB. PACIFICA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6154
Mailing Address - Country:US
Mailing Address - Phone:787-307-2610
Mailing Address - Fax:
Practice Address - Street 1:PG122 VIA ARCOIRIS
Practice Address - Street 2:URB. PACIFICA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-6154
Practice Address - Country:US
Practice Address - Phone:787-307-2610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10774207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine