Provider Demographics
NPI:1568669471
Name:PICHARDO, AMERICA MERCEDES (MD)
Entity Type:Individual
Prefix:DR
First Name:AMERICA
Middle Name:MERCEDES
Last Name:PICHARDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE LAUREL LOMAS VERDES Z22
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3244
Mailing Address - Country:US
Mailing Address - Phone:787-798-5175
Mailing Address - Fax:787-778-1505
Practice Address - Street 1:AVE. LAUREL LOMAS VERDE Z-22
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-798-5175
Practice Address - Fax:787-778-1505
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15848174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist