MEDICARE: MARIANA MERCADER PEREZ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1154272169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIANA MERCADER PEREZ LLC

Provider Business Mailing Address
First Line	:	URB. EXT VILLA CAPARRA
Second Line	:	CALLE GENOVEVA G7
City	:	GUAYNABO
State	:	PR
Zip	:	00966
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	EXTENSION HERMANOS DAVILA
Second Line	:	CALLE J 9
City	:	BAYAMON
State	:	PR
Zip	:	00959-6057
Country	:	US
Telephone Number	:	787-622-5432
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIANA MERCADER PEREZ
Credential	:	MD
Telephone Number	:	787-400-5440

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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