Individual
LUIS RENE ZENGOTITA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB. SANTA RITA 3 1262 CALLE SAN FRANCISCO DE ASIS, JUANA DIAZ, PR 00795
(787) 901-1583
Mailing address
URB. SANTA RITA 3 1262 CALLE SAN FRANCISCO DE ASIS, COTO LAUREL, PR 00780-2502
(787) 901-1583
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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