Provider Demographics
NPI:1144606633
Name:PEREZ SERRANO, BETSY YAZMIN (MD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:YAZMIN
Last Name:PEREZ SERRANO
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:HC 2 BOX 7236
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9788
Mailing Address - Country:US
Mailing Address - Phone:787-981-4118
Mailing Address - Fax:
Practice Address - Street 1:20 CALLE JOSE C. BARBOSA
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-9788
Practice Address - Country:US
Practice Address - Phone:787-912-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19151208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice