Provider Demographics
NPI:1427091834
Name:RODRIGUEZ-SERRANO, HECTOR JUAN (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JUAN
Last Name:RODRIGUEZ-SERRANO
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:PO BOX 193437
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3437
Mailing Address - Country:US
Mailing Address - Phone:787-646-7831
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 187 INT 188
Practice Address - Street 2:BOX 509 LOIZA STATION
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772-0509
Practice Address - Country:US
Practice Address - Phone:787-876-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine