Individual
DAISY MILAGROS MERCADO DOMACASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICINE DOCTOR
Contact information
Practice address
2 AVE PERIFERAL APT 1402, TRUJILLO ALTO, PR 00976-2135
(787) 667-4994
Mailing address
PO BOX 192993, SAN JUAN, PR 00919-2993
(787) 667-4994
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15465
PR
Other
Enumeration date
08/30/2006
Last updated
06/22/2020
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