Provider Demographics
NPI:1922137694
Name:SERRANO, ALEISHA ESTHER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEISHA
Middle Name:ESTHER
Last Name:SERRANO
Suffix:
Gender:F
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:CALLE PIMENTEL #52
Mailing Address - Street 2:BARRIADA LAS FLORES
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745
Mailing Address - Country:US
Mailing Address - Phone:787-244-0812
Mailing Address - Fax:787-887-5438
Practice Address - Street 1:CALLE PIMENTEL #52
Practice Address - Street 2:BARRIADA LAS FLORES
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-244-0812
Practice Address - Fax:787-887-5438
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10300111N00000X
PR506111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician