=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568121754
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE GABRIELA MERCADO-MORALES PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2021
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR.155 AVE. LUIS MUNOZ MARIN SEC. EL DESVIO
-----------------------------------------------------
City | OROCOVIS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-867-6010
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 1 BOX 5297
-----------------------------------------------------
City | BARRANQUITAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00794-9686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-409-5070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 6917
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------