Provider Demographics
NPI:1871243238
Name:SERRANO TORRES, RIGAL CORALYS
Entity Type:Individual
Prefix:
First Name:RIGAL
Middle Name:CORALYS
Last Name:SERRANO TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RIGAL
Other - Middle Name:C
Other - Last Name:SERRANO TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:MIRADERO KM. 5.8, 108 RD, NO. 1886
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-0000
Mailing Address - Country:US
Mailing Address - Phone:787-932-4264
Mailing Address - Fax:787-961-4562
Practice Address - Street 1:MIRADERO KM. 5.8
Practice Address - Street 2:108 RD. NO. 1886
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-0000
Practice Address - Country:US
Practice Address - Phone:787-932-4264
Practice Address - Fax:787-961-4562
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23257208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice