Provider Demographics
NPI:1427473131
Name:SERENDIPIA INC
Entity type:Organization
Organization Name:SERENDIPIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALFONSECA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, PPL
Authorized Official - Phone:787-220-4034
Mailing Address - Street 1:COND LAGOS DEL NORTE DEL LAGO AVE.
Mailing Address - Street 2:APT. 1202
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-1606
Mailing Address - Country:US
Mailing Address - Phone:787-220-4034
Mailing Address - Fax:
Practice Address - Street 1:1410-2 JESUS T PINERO AVE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-781-6653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center