Individual
GLORIA M MERCADO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. #2 KM 96.8, BO. COCOS, QUEBRADILLAS, PR 00678
(787) 895-6216
Mailing address
HC02 BOX 9879, QUEBRADILLAS, PR 00678
(787) 895-6216
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
893
PR
3336C0003X
Community/Retail Pharmacy
09-F-0674
PR
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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