Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 8226 | PR |
Y | 2080P0214X | Pediatric Pulmonologist | 8226 | PR |
NPI | 1396879227 |
---|---|
Provider Name | Dr. Frank Rodriguez Serrano |
First Address | Guaynabo, PR 00966 |
Second Address | Carolina, PR 00983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67619 | (02) | PR |