Organization
TRANSFORMA MEDICAL MALL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL MERCADO M.D. (CEO)
(787) 785-4402
Entity
Organization
Contact information
Practice address
CALLE 2 G-14, URB. VILLA RICA, BAYAMON, PR 00959
(787) 785-4402
(787) 995-0283
Mailing address
PO BOX 52217, TOA BAJA, PR 00950-2217
(787) 782-4402
(787) 995-0283
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
PR
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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