Organization
DR SALVADOR MERCADO MERCADO CSP
Active
Organization
DR SALVADOR MERCADO MERCADO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADOR MERCADO M.D. (PRESIDENT)
(787) 966-7575
Entity
Organization
Contact information
Practice address
EDIF. ROSSY CALLE BETANCES # 3, CIALES, PR 00638
(787) 871-0446
(787) 966-7577
Mailing address
PO BOX 127, BAYAMON, PR 00960-0127
(787) 966-7575
(787) 966-7577
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
5839
PR
2085R0202X
Diagnostic Radiology Physician
Primary
5839
PR
2085U0001X
Diagnostic Ultrasound Physician
5839
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497087258
NATIONAL PROVIDER IDENTIFICATOR
PR
Enumeration date
09/01/2010
Last updated
09/01/2010
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