Provider Demographics
NPI:1639380603
Name:SERRANO, MADELINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:
Last Name:SERRANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOS MILLONARIOS
Mailing Address - Street 2:2376
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-4929
Mailing Address - Country:US
Mailing Address - Phone:787-466-5000
Mailing Address - Fax:
Practice Address - Street 1:SANTIAGO DE LOS CABALLEROS
Practice Address - Street 2:2151
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732-2002
Practice Address - Country:US
Practice Address - Phone:787-844-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR011087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse