Provider Demographics
NPI:1568121754
Name:MERCADO-MORALES, NATALIE GABRIELA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:GABRIELA
Last Name:MERCADO-MORALES
Suffix:
Gender:F
Credentials:PHARMD
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 5297
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-9686
Mailing Address - Country:US
Mailing Address - Phone:939-409-5070
Mailing Address - Fax:
Practice Address - Street 1:MI FARMACIA CARR. 152 KM 9.9 SECTOR EL ABANICO
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist