Provider Demographics
NPI:1912916206
Name:SERRA, FRANCES T (MD)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:T
Last Name:SERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 CALLE BARBERINI
Mailing Address - Street 2:PALACIOS REALES
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4920
Mailing Address - Country:US
Mailing Address - Phone:939-717-2225
Mailing Address - Fax:
Practice Address - Street 1:31 CALLE CARAZO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5708
Practice Address - Country:US
Practice Address - Phone:787-789-1018
Practice Address - Fax:787-789-1018
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5892207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR26803Medicare ID - Type Unspecified