Provider Demographics
NPI:1720020886
Name:SERRANO MUNOZ, JOSE A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:SERRANO MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA CAPARRA, 30 CALLE J
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2202
Mailing Address - Country:US
Mailing Address - Phone:787-923-8498
Mailing Address - Fax:787-985-1276
Practice Address - Street 1:735 PONCE DE LEON AVE.
Practice Address - Street 2:TORRE MEDICA AUXILIO MUTUO SUITE 702
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5029
Practice Address - Country:US
Practice Address - Phone:787-765-7220
Practice Address - Fax:787-250-1952
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004028207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9-5727OtherMEDICARE PTAN
PR9-5727OtherMEDICARE PTAN