Organization
CONSULTORIO MEDICO LMT & DTF, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES MERCADO MD 12350 (PRESIDENTE)
(787) 675-0754
Entity
Organization
Contact information
Practice address
CALLE BARBOSA 154, MOCA, PR 00677
(787) 818-2866
Mailing address
PO BOX 117, ISABELA, PR 00662-0117
(787) 818-2866
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
12350
PR
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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