Provider Demographics
NPI:1063646818
Name:MERCADO GRAFALS, SARAHI (MSPT)
Entity Type:Individual
Prefix:
First Name:SARAHI
Middle Name:
Last Name:MERCADO GRAFALS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4675
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4675
Mailing Address - Country:US
Mailing Address - Phone:787-891-3382
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 42692
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9752
Practice Address - Country:US
Practice Address - Phone:787-891-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist