Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19658 | PR |
N | 111NI0900X | Internist | 19658 | PR |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 19658 | PR |
NPI | 1073947834 |
---|---|
Provider Name | Dr. Sheila Mercado |
First Address | San Sebastian, PR 00685-8726 |
Second Address | Manati, PR 00674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2013 |
Last Update Date | 31/10/2019 |