Active NPIIndividual providerSole proprietor

Dr. Eric H Serrano Forty, DMD

Dentist, General Practice in Bayamon, Puerto Rico

NPI Number1417012709
Practice location
Magnolia Ave., H-1, Bayamon, PR 00956
Fax
787-798-5749
Last updated
April 7, 2020

Eric H Serrano Forty is a Dentist, General Practice based in Bayamon, PR. Eric H Serrano Forty practices in Bayamon, PR and has the professional credentials of DMD. The NPI Number for Eric H Serrano Forty is 1417012709 and holds a License No. 1945 (PR). The current practice location address for Eric H Serrano Forty is Magnolia Ave., H-1, Bayamon, PR 00956 and can be reached out via phone at 787-786-5819 and via fax at 787-798-5749.

Provider Profile Details

NPI Number
1417012709
Provider Name
Eric H Serrano Forty
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Magnolia Ave., H-1, Bayamon, PR 00956
Phone Number
787-786-5819
Fax Number
787-798-5749
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 27, 2006
Last Update Date
April 7, 2020
Certification Date
April 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Magnolia Ave.
H-1
Bayamon, PR 00956
Zip
00956
Phone Number
787-786-5819
Fax Number
787-798-5749
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Po Box 3722
Bayamon, PR 00958-0722
City
Bayamon
State
PR
Zip
00958-0722
Phone Number
787-786-5819
Fax Number
787-798-5749

License Information

License Number (1)
1945
License State (1)
PR
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
30867
License State (2)
TX
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eric H Serrano Forty, DMD?

The NPI number of Dr. Eric H Serrano Forty, DMD is 1417012709. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eric H Serrano Forty, DMD?

Dr. Eric H Serrano Forty, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1945.

Where does Dr. Eric H Serrano Forty, DMD practice?

The practice location is Magnolia Ave., H-1, Bayamon, PR 00956. The office can be reached at 787-786-5819 (phone) or 787-798-5749 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417012709 directly on the NPPES registry website.

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