Provider Demographics
NPI:1598811093
Name:SERRANO PERNAS, MARIA DEL PILAR (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL PILAR
Last Name:SERRANO PERNAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 366257
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6257
Mailing Address - Country:US
Mailing Address - Phone:787-753-8701
Mailing Address - Fax:787-753-8701
Practice Address - Street 1:#550 SERGIO CUEVAS BUSTAMANTE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY HOSPITAL DEL MAESTRO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-8701
Practice Address - Fax:787-753-8701
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6326207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79692Medicare UPIN
PR27738Medicare PIN