Provider Demographics
NPI:1477677193
Name:JUAN MERCED
Entity Type:Organization
Organization Name:JUAN MERCED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCED
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:787-881-4507
Mailing Address - Street 1:PO BOX 143224
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3224
Mailing Address - Country:US
Mailing Address - Phone:787-881-4507
Mailing Address - Fax:787-881-4507
Practice Address - Street 1:CARR 663 KM .03
Practice Address - Street 2:SABANA HOYOS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0000
Practice Address - Country:US
Practice Address - Phone:787-881-4507
Practice Address - Fax:787-881-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherSOCIAL SECURITY