Individual
IDALIS MERCADO NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPHE, CTTS, CHES
Contact information
Practice address
CALLE FELIPE DE PLANA #5, GUAYNABO, PR 00966
(787) 999-6200
Mailing address
138 AVE WINSTON CHURCHILL, SAN JUAN, PR 00926-6013
(787) 999-6200
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
16160
PR
225200000X
Physical Therapy Assistant
1504
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16160
CHES
PR
Enumeration date
09/25/2019
Last updated
04/14/2022
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