Provider Demographics
NPI:1326460486
Name:SERRANO PULMONARY SERVICES,LLC
Entity Type:Organization
Organization Name:SERRANO PULMONARY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PNEUMOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JAHAIRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SERRANO DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-880-3437
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:787-815-7200
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15399261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0026238Medicare PIN