Individual
DR. ISMAEL MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE 2 G-14, EXT. VILLA RICA, BAYAMON, PR 00959
(787) 785-4402
(787) 995-0283
Mailing address
PO BOX 52217, TOA BAJA, PR 00950-2217
(787) 785-4402
(787) 995-0283
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14690
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22195ME
SSS
PR
01
—
994518
MEDICARE
PR
Enumeration date
01/04/2006
Last updated
09/08/2010
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