Provider Demographics
NPI:1922686799
Name:SERRANT HERNANDEZ, MARAIDA LYNN (MD, MHA, MPH)
Entity Type:Individual
Prefix:
First Name:MARAIDA
Middle Name:LYNN
Last Name:SERRANT HERNANDEZ
Suffix:
Gender:F
Credentials:MD, MHA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 CALLE CECILIANA APT 704
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7469
Mailing Address - Country:US
Mailing Address - Phone:787-226-1106
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MDICO DE PUERTO RICO BARRIO MONACILLOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-7469
Practice Address - Country:US
Practice Address - Phone:787-480-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR35922R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics