Provider Demographics
NPI:1861597635
Name:SERRANO, SONIA VALENTIN
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:VALENTIN
Last Name:SERRANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142771
Mailing Address - Street 2:ARECIBO
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 40.2 JARDINES PLAZA SUITE 2
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-0000
Practice Address - Country:US
Practice Address - Phone:787-862-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3303608OtherACAA
PR660570673OtherMEDICAL CARD SYSTEM
PR992366OtherMMM
PR660570673OtherCOSVI
PR660570673OtherCIGNA
PR50455OtherPREFERRED MEDICARE CHOISE
PR80310OtherTRIPLE SSS, INC
PR325655021OtherASOCIACION DE MAESTROS
PR5124OtherINTERNATIONAL MEDICAL CAR
PR660570673OtherHUMANA PUERTO RICO
PR660570673OtherUNITED HEALTH CARE
PR660570673OtherAETNA US HEALTH CARE
PR660570673OtherUNITED HEALTH CARE