Organization
SERENITY INTEGRATED MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LUIS RODRIGUEZ MD (PRESIDENT)
(787) 295-5554
Entity
Organization
Contact information
Practice address
1123 AVE HOSTOS, PONCE, PR 00717-0952
(787) 377-1277
Mailing address
1123 AVE HOSTOS STE 15, PONCE, PR 00717-0952
(787) 377-1277
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
02/23/2025
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