Healthcare Provider Details

I. General information

NPI: 1629020441
Provider Name (Legal Business Name): SONIA ORELLANA CAHANAP-MERCADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SONIA ORELLANA MERCADO

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S HERLONG AVENUE
ROCK HILL SC
29732
US

IV. Provider business mailing address

1923 FARROW DRIVE
ROCK HILL SC
29732
US

V. Phone/Fax

Practice location:
  • Phone: 803-909-2041
  • Fax: 803-981-7438
Mailing address:
  • Phone: 803-909-2041
  • Fax: 803-981-7438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number22087
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: