Basic Information
| Provider Information | |||||||||
| NPI: | 1396879227 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ SERRANO | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | URB TINTILLO GARDENS | ||||||||
| Address2: | CALLE 5 H39 | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9392167009 | ||||||||
| FaxNumber: | 7874747346 | ||||||||
| Practice Location | |||||||||
| Address1: | AVENIDA SANCHEZ VILELLA ANTIGUO CAMPO RICO | ||||||||
| Address2: | GK-33 | ||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877409198 | ||||||||
| FaxNumber: | 7874747346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 02/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0214X | 8226 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 208000000X | 8226 | PR | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.