Doctor Name: | CARMEN SILVA SERRANO |
NPI Number: | 1215341607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | 11266 M.D |
License Number: | 11266 |
Business Practice Address: | Carr. 917 Km 3 Bo. Montones 3 Las Piedras, PR - 007719792 |
Business Phone Number: | 9393326575 |
Business Fax Number: | |
Mailing Address: | Hc 2 Box 7282, LAS PIEDRAS |
State: | PR |
Postal Code: | 007719792 |
Phone Number: | 9393326575 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |