MEDICARE: DR. EAST A. MERE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	11422	PR

General Provider Information

NPI Number	:	1043300189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EAST A. MERE M.D.

Provider Business Mailing Address
First Line	:	PARQUE MONTEBELLO F-22 ST.2
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976
Country	:	US
Telephone Number	:	787-760-0019
Fax Number	:	787-766-0534

Provider Business Practice Location Address
First Line	:	445 CALLE CESAR GONZALEZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2639
Country	:	US
Telephone Number	:	787-767-2131
Fax Number	:	787-766-0534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/29/2013

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