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NPI Code Detail

MEDICARE: MARCO ARIEL MERCADO JR.

MEDICARE: MARCO ARIEL MERCADO JR.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053275180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCO ARIEL MERCADO JR.
Provider Business Mailing Address
First Line : 1808 SHREYA ST
Second Line :
City : EL PASO
State : TX
Zip : 79928-1787
Country : US
Telephone Number : 915-230-9319
Fax Number :
Provider Business Practice Location Address
First Line : 100 W GRIGGS AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1234
Country : US
Telephone Number : 575-277-9318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ MARCO ARIEL MERCADO JR. ” Practice Location

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