| Doctors Mercado Benero Psc | |
|
21 Calle Juan Gonzalez Isabela PR 00662-2812 | |
| (787) 517-4501 | |
| Not Available |
| Full Name | Doctors Mercado Benero Psc |
|---|---|
| Speciality | General Practice |
| Location | 21 Calle Juan Gonzalez, Isabela, Puerto Rico |
| Authorized Official Name and Position | Jose Luis Mercado (PRESIDENT) |
| Authorized Official Contact | 7875174501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Mercado Benero Psc 21 Calle Juan Gonzalez Isabela PR 00662-2812 Ph: (787) 517-4501 | Doctors Mercado Benero Psc 21 Calle Juan Gonzalez Isabela PR 00662-2812 Ph: (787) 517-4501 |
| NPI Number | 1922684323 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 8325440431 |
|---|---|
| Medicare Enrollment ID | O20210713000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922684323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose L Mercado Santiago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306010699 PECOS PAC ID: 0244391803 Enrollment ID: I20081202000326 |
| Provider Name | Cristina M Benero Font |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659506079 PECOS PAC ID: 9931383072 Enrollment ID: I20110413000972 |
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