Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101270762 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 272925 | NY |
NPI | 1760647648 |
---|---|
Provider Name | Felix Manuel Rivera Mercado |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 19/03/2021 |