DR. CARLOS MARIO RIVERA SERRANO M.D. NPI 1497910905

NPI Information

  • NPI: 1497910905
  • Provider Name: DR. CARLOS MARIO RIVERA SERRANO, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 KANE CONCOURSE STE 111
    BAY HARBOR ISLANDS, FL
    ZIP 33154
  • Phone: (617) 755-9404

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NPI Details

DR. Carlos Mario Rivera Serrano, M.D. is a plastic and reconstructive surgery surgery in Bay Harbor Islands, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Carlos Mario Rivera Serrano, M.D. NPI is 1497910905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 KANE CONCOURSE STE 111
BAY HARBOR ISLANDS, FL
ZIP 33154-039
Phone: (617) 755-9404

The NPI 1497910905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery036.139259ILLINOISNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryME148629FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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