Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 6371 | PR |
NPI | 1568482743 |
---|---|
Provider Name | Alejandro Mercado |
First Address | Guaynabo, PR 00969 |
Second Address | Bayamon, PR 00959-7203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |