Provider Demographics
NPI:1336912682
Name:SERNA SOLUTIONS LLC
Entity Type:Organization
Organization Name:SERNA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-207-8929
Mailing Address - Street 1:4001 OFFICE COURT DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4936
Mailing Address - Country:US
Mailing Address - Phone:505-207-8929
Mailing Address - Fax:
Practice Address - Street 1:4101 BARBARA LOOP SE STE A
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1011
Practice Address - Country:US
Practice Address - Phone:505-305-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERNA SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-30
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder