Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 78 | PR |
NPI | 1033876487 |
---|---|
Provider Name | Dr. Yasmin Mercado |
First Address | Vega Baja, PR 00694-2453 |
Second Address | Vega Baja, PR 00693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2021 |
Last Update Date | 19/11/2021 |