Organization
VICTOR J. MARIANO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR J MARIANO MERCEDES MD (PRESIDENT)
(787) 786-8912
Entity
Organization
Contact information
Practice address
44 CALLE JOSE JULIAN ACOSTA, VEGA BAJA, PR 00693-4467
(787) 858-0434
Mailing address
MQ10 PLAZA 37, BAYAMON, PR 00961-3577
(787) 786-8912
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4902
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043271398
NPI
PR
Enumeration date
08/11/2015
Last updated
08/11/2015
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