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NPI Code Detail

MEDICARE: ANGELEI GUZMAN MERCADO FNP

MEDICARE: ANGELEI GUZMAN MERCADO FNP
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
1363LF0000XFamily Nurse PractitionerAP144412TX
2363L00000XNurse PractitionerAP144412TX

General Provider Information

NPI Number : 1942830708
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELEI GUZMAN MERCADO FNP
Provider Business Mailing Address
First Line : 10819 FALLING WATER
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3882
Country : US
Telephone Number : 210-639-1754
Fax Number :
Provider Business Practice Location Address
First Line : 4411 MEDICAL DR STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3824
Country : US
Telephone Number : 210-614-5400
Fax Number : 210-510-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2020
Last Update Date : 12/04/2025

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Directions to “ ANGELEI GUZMAN MERCADO FNP” Practice Location

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