Provider Demographics
NPI:1437024726
Name:LOPEZ-MERCADO, MIRNALY
Entity type:Individual
Prefix:
First Name:MIRNALY
Middle Name:
Last Name:LOPEZ-MERCADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ESTANCIAS EL VIGIA CALLE FARO F-76
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-839-4150
Mailing Address - Fax:787-839-3989
Practice Address - Street 1:CALLE MORSE ESQUINA VALENTINA # 46
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2633
Practice Address - Country:US
Practice Address - Phone:787-839-4150
Practice Address - Fax:787-839-3989
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist