Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME 11500 | FL |
N | 2080P0202X | Pediatric Cardiologist | ME 11500 | FL |
NPI | 1053391417 |
---|---|
Provider Name | Dr. Herbert Gallman Mercado |
First Address | Miami, FL 33165-2082 |
Second Address | Miami, FL 33165-2082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D27468 | (02) |