Provider Demographics
NPI:1962100859
Name:SERAFINA OBSTETRICIA Y GINECOLOGIA LLC
Entity type:Organization
Organization Name:SERAFINA OBSTETRICIA Y GINECOLOGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LAZU ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-266-0759
Mailing Address - Street 1:URB MENDEZ A5
Mailing Address - Street 2:CALLE MARGINAL
Mailing Address - City:YABUCOA, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:939-367-2000
Mailing Address - Fax:787-852-0157
Practice Address - Street 1:RYDER MEMORIAL HOSPITAL
Practice Address - Street 2:#355 CALLE FONT MARTELO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:939-367-2000
Practice Address - Fax:787-852-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty