Provider Demographics
NPI:1821037565
Name:SERRANO, FRANCISCO (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:SERRANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 FRANK B MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1106
Mailing Address - Country:US
Mailing Address - Phone:413-301-6019
Mailing Address - Fax:413-363-2857
Practice Address - Street 1:155 UNION ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-2010
Practice Address - Country:US
Practice Address - Phone:413-732-0088
Practice Address - Fax:413-737-9879
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36826OtherBCBS INDIVIDUAL NUMBER
MA2133OtherLICENSE
MAY45452Medicare ID - Type UnspecifiedMEDICARE NUMBER