MEDICARE: MANUEL J MERCADO MD PA

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	207R00000X	Internal Medicine Physician		TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC8176	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0033QF	OTHER	TX	BCBS
3	0087GT	OTHER		BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427020676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANUEL J MERCADO MD PA

Provider Business Mailing Address
First Line	:	502 S CAGE BLVD
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5449
Country	:	US
Telephone Number	:	956-702-1013
Fax Number	:	956-781-5196

Provider Business Practice Location Address
First Line	:	502 S CAGE BLVD
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5449
Country	:	US
Telephone Number	:	956-702-1013
Fax Number	:	956-781-5196

Authorized Official
Title or Position	:	OWNER
Name	:	MANUEL J MERCADO
Credential	:	MD
Telephone Number	:	956-702-1013

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	01/27/2012

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Directions to “MANUEL J MERCADO MD PA ” Practice Location

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