Provider Demographics
NPI:1407024458
Name:SERRANO, AURORA CORTES (RPT)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:CORTES
Last Name:SERRANO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NW 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7063
Mailing Address - Country:US
Mailing Address - Phone:954-915-8435
Mailing Address - Fax:954-382-4846
Practice Address - Street 1:225 NW 101ST AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7063
Practice Address - Country:US
Practice Address - Phone:954-915-8435
Practice Address - Fax:954-382-4846
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist