Provider Demographics
NPI:1790899383
Name:ALEJANDRO SERRANO, KATHIA V (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHIA
Middle Name:V
Last Name:ALEJANDRO 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 1:425 CARR 693 STE 1
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4817
Mailing Address - Country:US
Mailing Address - Phone:787-504-4959
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 47.7
Practice Address - Street 2:DOCTOR'S CENTER HOSPITAL
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15628208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery