Provider Demographics
NPI:1619948437
Name:MERLOS, PASCUAL
Entity Type:Individual
Prefix:DR
First Name:PASCUAL
Middle Name:
Last Name:MERLOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GUARIONEX
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-281-7314
Mailing Address - Fax:787-304-0795
Practice Address - Street 1:C GUARIONEZ LOCAL 7
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-281-7314
Practice Address - Fax:787-304-0795
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8785208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherSEGURO SOCIAL