Individual
DR. LUIS ALBERTO SERRANO-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
103711
MN
207P00000X
Emergency Medicine Physician
16839
PR
207P00000X
Emergency Medicine Physician
Primary
51269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00665905
RAILROAD MEDICARE
MN
Enumeration date
07/31/2007
Last updated
03/04/2009
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