Provider Demographics
NPI:1255227781
Name:SERRANO LUGO, KIANY (DMD)
Entity type:Individual
Prefix:
First Name:KIANY
Middle Name:
Last Name:SERRANO LUGO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 10429
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9711
Mailing Address - Country:US
Mailing Address - Phone:787-377-5416
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 10429
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-9711
Practice Address - Country:US
Practice Address - Phone:787-377-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program