Provider Demographics
NPI:1629203781
Name:SERRANO, MARIA CATALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CATALINA
Last Name:SERRANO
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 1:7755 NW 146TH ST
Mailing Address - Street 2:SUITE 4G
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1559
Mailing Address - Country:US
Mailing Address - Phone:305-823-3590
Mailing Address - Fax:305-823-3591
Practice Address - Street 1:7755 NW 146TH ST
Practice Address - Street 2:SUITE 4G
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1559
Practice Address - Country:US
Practice Address - Phone:305-823-3590
Practice Address - Fax:305-823-3591
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN13579390200000X
FLME1131172080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program