Individual
KEVIN GILBERTO MERCADO PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 CALLE ALCANIZ URBANIZACION SAN JOSE HATO REY SAN, SAN JUAN, PR 00923
(787) 662-1096
Mailing address
410 CALLE ALCANIZ URBANIZACION SAN JOSE HATO REY SAN, SAN JUAN, PR 00923
(787) 662-1096
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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