Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13573 | PR |
N | 111NI0900X | Internist | 13573 | PR |
Y | 207RC0000X | Internist - Cardiovascular Disease | 13573 | PR |
NPI | 1013011436 |
---|---|
Provider Name | Milagro Cortes-Mercado |
First Address | Toa Baja, PR 00950-1396 |
Second Address | Levittown, PR 00949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 28/03/2011 |