Doctor Name: | DR. LYNNETH MERCADO RODRIGUEZ |
NPI Number: | 1336126168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 15083 |
Business Practice Address: | Ave. Font Martello 3358 Humacao, PR - 00791 |
Business Phone Number: | 7877438558 |
Business Fax Number: | |
Mailing Address: | Box 763, CAGUAS |
State: | PR |
Postal Code: | 00726 |
Phone Number: | 7877438558 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |