Individual
GENESIS YEIDELIZ MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 459 KM 3.1 BO CAMASEYES, AGUADILLA, PR 00605
(787) 891-8822
Mailing address
4406 AVE MILITAR, ISABELA, PR 00662-4158
(787) 872-5943
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
014789
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014789
—
PR
Enumeration date
12/08/2022
Last updated
12/08/2022
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