Provider Demographics
NPI:1396879227
Name:RODRIGUEZ SERRANO, FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:RODRIGUEZ SERRANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB TINTILLO GARDENS
Mailing Address - Street 2:CALLE 5 H39
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:939-216-7009
Mailing Address - Fax:787-474-7346
Practice Address - Street 1:AVENIDA SANCHEZ VILELLA ANTIGUO CAMPO RICO
Practice Address - Street 2:GK-33
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-740-9198
Practice Address - Fax:787-474-7346
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR82262080P0214X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE67619Medicare UPIN