| Doctor Name: | DR. CARLA MICHELLE HERNANDEZ MERCADO |
| NPI Number: | 1952636607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 17764 |
| Business Practice Address: | Camino De La Zarzuela Sf-22 Mansion Sur Toa Baja, PR - 009494826 |
| Business Phone Number: | 7873999219 |
| Business Fax Number: | |
| Mailing Address: | Camino De La Zarzuela Sf-22 Mansion Sur, TOA BAJA |
| State: | PR |
| Postal Code: | 009494826 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2009 |
| NPI Last Update Date: | 09/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |