Healthcare Provider Details

I. General information

NPI: 1588981922
Provider Name (Legal Business Name): MERCEDES FRANCISCO CUARTERO D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 BISCAYNE BLVD APT 5701
MIAMI FL
33132-1548
US

IV. Provider business mailing address

888 BISCAYNE BLVD APT 5701
MIAMI FL
33132-1548
US

V. Phone/Fax

Practice location:
  • Phone: 786-488-7764
  • Fax:
Mailing address:
  • Phone: 786-488-7764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN18937
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: