Provider Demographics
NPI:1558535864
Name:MERCED, CARMEN I (RN)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:I
Last Name:MERCED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6212
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9543
Mailing Address - Country:US
Mailing Address - Phone:787-720-7748
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY PEDIATRIC HOSPITAL CENTRO PEDIATRICO
Practice Address - Street 2:CALL BOX 191079
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-1079
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse