Provider Demographics
NPI:1245431451
Name:SERRANO DOMINGUEZ, JAHAIRA L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAHAIRA
Middle Name:L
Last Name:SERRANO DOMINGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2781
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-2781
Mailing Address - Country:US
Mailing Address - Phone:787-880-3437
Mailing Address - Fax:
Practice Address - Street 1:318 AVE RAFAEL RIVERA AULET
Practice Address - Street 2:ESQ EMILIO CASTELAR
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-880-3437
Practice Address - Fax:787-815-7200
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15399207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease