Individual
MRS. BLANCA I MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 BULEVAR SANTIAGO, URB VILLAS DE LAUREL II, COTO LAUREL, PR 00780-2248
(787) 841-2135
Mailing address
1424 BULEVAR SANTIAGO, URB VILLAS DE LAUREL II, COTO LAUREL, PR 00780-2248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4454
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4454
STATE LICENSE
PR
Enumeration date
06/08/2011
Last updated
06/08/2011
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