Individual
ENEIDA MABEL MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 CALLE LUIS H LACOMBA, HATILLO, PR 00659-1838
(787) 898-3343
(787) 262-0964
Mailing address
PO BOX 285, HATILLO, PR 00659-0285
(787) 898-2505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4653
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137452
DRIVERS LICENSE
RI
Enumeration date
08/07/2007
Last updated
08/07/2007
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