Individual
IVONNE VEGA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3534 CALLE MESSIER, PONCE, PR 00717-1472
(939) 242-9080
Mailing address
3534 CALLE MESSIER, URB STARLIGTH, PONCE, PR 00717-3534
(939) 242-9080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72386
PR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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