Healthcare Provider Details

I. General information

NPI: 1255774832
Provider Name (Legal Business Name): FRANTONY MERCADO CABRERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAYAGUEZ MEDICAL CENTER SUITE 118 CARR #2 KM 157 AVE HOSTOS #410
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

PO BOX 3456
MAYAGUEZ PR
00681-3456
US

V. Phone/Fax

Practice location:
  • Phone: 248-552-9858
  • Fax: 248-849-2853
Mailing address:
  • Phone: 787-224-9794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number19261
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number19261
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: