# JOSE O SERRANO ROSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477106870
- **Gender:** Man
- **Credential:** MS, APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 804384 | NY | — |
| 163W00000X | Registered Nurse | 90073 | PR | — |
| 163W00000X | Registered Nurse | RN9597608 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 005303 | PR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11034902 | FL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F406295-01 | NY | — |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 11/26/2024
