Percy Poncho Serrano in San Jose - General Practice
Percy Poncho Serrano - NPI 1538298625
Percy Poncho Serrano is a General Practice in San Jose, California. Percy Poncho Serrano practices all healthcare services and medical treatments related to General Practice. The NPI Number for Percy Poncho Serrano is 1538298625. The last update date is 2007-07-08.
Percy Poncho Serrano's current location address is 6541 Crown Blvd, San Jose, California. You can contact this provider via phone number 4082684161 and fax number 4082685745. The mailing address for Percy Poncho Serrano is 6541 Crown Blvd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Percy Poncho Serrano |
|---|---|
| Address | 6541 Crown Blvd, San Jose, California |
| Phone Number | 4082684161 |
| Fax Number | 4082685745 |
| Sole Proprietor | Y |
| Credentials | PERCY SER |
NPI Number Detail
| NPI Number | 1538298625 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6541 Crown Blvd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951202907 |
| Phone Number | 4082684161 |
| Fax Number | 4082685745 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 28486 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Percy Poncho Serrano by the Centers for Medicare & Medicaid Services (CMS)?
The Percy Poncho Serrano has been assigned the NPI (National Provider Identifier) 1538298625. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Percy Poncho Serrano's physical address?
The Percy Poncho Serrano is physically located at 6541 Crown Blvd, in the city of San Jose, CA, with the postal code 951202907.
What is the Percy Poncho Serrano's area of specialization and corresponding taxonomy classification?
The Percy Poncho Serrano's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the Percy Poncho Serrano's 1538298625 issued?
The Percy Poncho Serrano's 1538298625 was issued on 2007-03-05.
As of what date were the details related to Percy Poncho Serrano most recently updated or revised?
The information pertaining to Percy Poncho Serrano, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930573
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