Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19192 | PR |
N | 111NI0900X | Internist | 19192 | PR |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 19192 | PR |
NPI | 1013258482 |
---|---|
Provider Name | Marielly Sierra Mercado |
First Address | San Juan, PR 00936-6791 |
Second Address | San Juan, PR 00935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2013 |
Last Update Date | 26/07/2018 |