Provider Demographics
NPI:1386059897
Name:SERRANO-RODRIGUEZ, JESSICA MARIE (MD)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:MARIE
Last Name:SERRANO-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6452 E CARONDELET DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2262
Mailing Address - Country:US
Mailing Address - Phone:520-885-5300
Mailing Address - Fax:520-885-5309
Practice Address - Street 1:6452 E CARONDELET DR STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2262
Practice Address - Country:US
Practice Address - Phone:520-885-5300
Practice Address - Fax:520-885-5309
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZR74556207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology