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NPI Code Detail

MEDICARE: YELYNEL PERALTA MERCADO

MEDICARE:   YELYNEL  PERALTA MERCADO
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
1103K00000XBehavior AnalystFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821563248
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELYNEL PERALTA MERCADO
Provider Business Mailing Address
First Line : 1443 POLYDORA
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-4739
Country : US
Telephone Number : 786-213-6251
Fax Number :
Provider Business Practice Location Address
First Line : 1443 POLYDORA
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-4739
Country : US
Telephone Number : 786-213-6251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 03/12/2025

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Directions to “ YELYNEL PERALTA MERCADO ” Practice Location

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