Provider Demographics
NPI:1679675805
Name:SERRANO, VIRGINIA ANGELES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ANGELES
Last Name:SERRANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16466 SW 76TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3727
Mailing Address - Country:US
Mailing Address - Phone:305-386-2772
Mailing Address - Fax:
Practice Address - Street 1:55 ALHAMBRA PLZ
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5254
Practice Address - Country:US
Practice Address - Phone:305-441-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist