| Doctor Name: | DR. MIRIAM RIVERA SERRANO |
| NPI Number: | 1255362885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 9679 |
| Business Practice Address: | Carr #2 Km 65.6 Bo Factor 1 Arecibo, PR - 00612 |
| Business Phone Number: | 7878812953 |
| Business Fax Number: | 7878814807 |
| Mailing Address: | Po Box 970, ARECIBO |
| State: | PR |
| Postal Code: | 006130970 |
| Phone Number: | 7878812953 |
| Fax Number: | 7818814807 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 06/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |