Doctor Name: | DR. SALVADOR MERCADO RODRIGUEZ |
NPI Number: | 1104893197 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14636 |
Business Practice Address: | 172-16 Calle 438 Villa Carolina Carolina, PR - 009853510 |
Business Phone Number: | 7879149326 |
Business Fax Number: | 7872004670 |
Mailing Address: | Po Box 900, CAROLINA |
State: | PR |
Postal Code: | 009860900 |
Phone Number: | 7879149326 |
Fax Number: | 7872004670 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |