Provider Demographics
NPI:1114036225
Name:LARRAZABAL MERCADO, LUIS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:LARRAZABAL MERCADO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:343 CALLE JESUS RAMOS
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-4573
Mailing Address - Country:US
Mailing Address - Phone:787-877-8216
Mailing Address - Fax:787-877-8216
Practice Address - Street 1:343 CALLE JESUS RAMOS
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4573
Practice Address - Country:US
Practice Address - Phone:787-877-8216
Practice Address - Fax:787-877-8216
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR9745208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice