Individual
DR. MIGUEL PALACIOS-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HIMA PLAZA 1, 500 AVE. DEGETAU, STE. 415, CAGUAS, PR 00725-7301
(787) 743-1415
(787) 961-4609
Mailing address
PO BOX 5549, CAGUAS, PR 00726-5549
(787) 743-1415
(787) 961-4609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6879
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110074865
PALMETTO GBA RR MEDICARE
—
01
—
27643
MEDICARE OPTIMO
—
01
—
6250094
HUMANA INSURANCE
—
01
—
660580610
PREFERRED MEDICARE CHOICE
—
01
—
68486
CRUZ AZUL
—
01
—
90414
SSS
—
Enumeration date
07/12/2006
Last updated
11/15/2011
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