Healthcare Provider Details

I. General information

NPI: 1942757349
Provider Name (Legal Business Name): ABNER EMILIO MERCADO AROCHO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABNER E MERCADO AROCHO MD

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 DAVIS BLVD STE 308
TAMPA FL
33606-3438
US

IV. Provider business mailing address

HC 8 BOX 89002
SAN SEBASTIAN PR
00685-8844
US

V. Phone/Fax

Practice location:
  • Phone: 786-292-9870
  • Fax:
Mailing address:
  • Phone: 787-457-4867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01093852A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME161176
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number01093852B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: