Provider Demographics
NPI:1306853817
Name:SERRANO, AMARILIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMARILIS
Middle Name:
Last Name:SERRANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GJ15 AVE ROBERTO SANCHEZ VILELLA
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-2656
Mailing Address - Country:US
Mailing Address - Phone:787-257-1860
Mailing Address - Fax:787-257-9426
Practice Address - Street 1:GJ15 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:SUITE 201
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2656
Practice Address - Country:US
Practice Address - Phone:787-257-1860
Practice Address - Fax:787-257-9426
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1405103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical