Healthcare Provider Details

I. General information

NPI: 1568121754
Provider Name (Legal Business Name): NATALIE GABRIELA MERCADO-MORALES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR.155 AVE. LUIS MUNOZ MARIN SEC. EL DESVIO
OROCOVIS PR
00720
US

IV. Provider business mailing address

HC 1 BOX 5297
BARRANQUITAS PR
00794-9686
US

V. Phone/Fax

Practice location:
  • Phone: 787-867-6010
  • Fax:
Mailing address:
  • Phone: 939-409-5070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6917
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: