Individual
JOSE LUIS MERCADO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR. #2 K.M 106.4, ISABELA, PR 00662
(787) 484-1793
Mailing address
PO BOX 2479, ISABELA, PR 00662-9479
(787) 484-1793
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17119
PR
Other
Enumeration date
04/17/2008
Last updated
03/10/2011
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