Provider Demographics
NPI:1992781595
Name:SERRANO, CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:SERRANO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 29134
Mailing Address - Street 2:NEUROLOGIA RCM
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-754-0101
Mailing Address - Fax:787-751-3911
Practice Address - Street 1:UNIV PUERTO RICO MEDICAL
Practice Address - Street 2:NEUROLOGY, 5TH FL. , ADULTS UNIVERSITY HOSPITAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:787-751-3911
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2010-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR91812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF11027Medicare UPIN