Provider Demographics
NPI:1376249342
Name:RODRIGUEZ SERRANO, JANERI (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JANERI
Middle Name:
Last Name:RODRIGUEZ SERRANO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 42646
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-9700
Mailing Address - Country:US
Mailing Address - Phone:787-325-3043
Mailing Address - Fax:
Practice Address - Street 1:REPARTO LA CARMELITA KM. 11.7 CARR. 106
Practice Address - Street 2:BO. NARANJALES CALLE B #73
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-0000
Practice Address - Country:US
Practice Address - Phone:787-325-3043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1041C0700X1041C0700X
PR93541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical