Basic Information
| Provider Information | |||||||||
| NPI: | 1962670224 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SERRANO | ||||||||
| FirstName: | PABLO | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2549 PLUM LEAF LN APT A | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436144522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192060164 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3065 ARLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193836462 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2008 | ||||||||
| LastUpdateDate: | 07/24/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 35088763 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.