Provider Demographics
NPI:1659551216
Name:SERRATO, JUAN ANTONIO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ANTONIO
Last Name:SERRATO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2402 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8462
Mailing Address - Country:US
Mailing Address - Phone:956-668-0060
Mailing Address - Fax:956-668-0070
Practice Address - Street 1:2402 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8462
Practice Address - Country:US
Practice Address - Phone:956-668-0060
Practice Address - Fax:956-668-0070
Is Sole Proprietor?:No
Enumeration Date:2007-11-11
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.201428207X00000X
TXN9955207XX0005X, 207X00000X
OH35095328207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine