Individual
JOSE ANTONIO MERCADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PLAZA DEL MAR CARR 107 KM 2.3, BO BORINQUEN, AGUADILLA, PR 00603
(787) 641-9133
Mailing address
URB UNIVERSITY GARDEN, CALLE BAMBU 4 D 16, ARECIBO, PR 00612
(787) 602-1295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72826-G
PR
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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