Doctor Name: | DR. BETSY YAZMIN PEREZ SERRANO |
NPI Number: | 1144606633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 19151 |
Business Practice Address: | 20 Calle Jose C. Barbosa Las Piedras, PR - 007719788 |
Business Phone Number: | 7879120505 |
Business Fax Number: | |
Mailing Address: | Hc 2 Box 7236, LAS PIEDRAS |
State: | PR |
Postal Code: | 007719788 |
Phone Number: | 7879814118 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |