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General NPI Number Information
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NPI Number | 1770044844
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Entity Type | Organization
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Legal Business Name | DR. MERCADO HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | ROVIRA OFFICE PARK 623 AVE LA CEIBA SUITE 203
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-393-3310
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Fax |
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Provider Business Mailing Address
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Address Line | ESTANCIAS DEL GOLF CLUB 386 JUAN H CINTRON
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-393-3310
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LOUIE JAVIER MERCADO
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Credential | DC
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Telephone | 787-393-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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