Provider Demographics
NPI:1518265305
Name:GARCIA PONS, MERCEDES M (OD)
Entity Type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:M
Last Name:GARCIA PONS
Suffix:
Gender:F
Credentials:OD
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 331668
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-1668
Mailing Address - Country:US
Mailing Address - Phone:787-690-0150
Mailing Address - Fax:
Practice Address - Street 1:108 CALLE ATOCHA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3772
Practice Address - Country:US
Practice Address - Phone:787-690-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR306152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist