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NPI Code Detail

MEDICARE: DAVID MERCADO-HERNANDEZ

MEDICARE: DAVID MERCADO-HERNANDEZ
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
1367500000XCertified Registered Nurse AnesthetistAPRN11045391FL
2367500000XCertified Registered Nurse Anesthetist77734NM
3163W00000XRegistered NurseRN9481783FL

General Provider Information

NPI Number : 1407511330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MERCADO-HERNANDEZ
Provider Business Mailing Address
First Line : 8179 NW 8TH ST APT B4
Second Line :
City : MIAMI
State : FL
Zip : 33126-2887
Country : US
Telephone Number : 561-900-4177
Fax Number :
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-426-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 05/27/2026

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Directions to “ DAVID MERCADO-HERNANDEZ ” Practice Location

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