Provider Demographics
NPI:1114174497
Name:MERCADO, CLAUDIA GETZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:GETZABETH
Last Name:MERCADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1405 JACAMAN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6224
Mailing Address - Country:US
Mailing Address - Phone:956-727-3047
Mailing Address - Fax:956-717-3630
Practice Address - Street 1:1405 JACAMAN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6224
Practice Address - Country:US
Practice Address - Phone:956-727-3047
Practice Address - Fax:956-717-3630
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125055517207Q00000X
TXP0443207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine