Provider Demographics
NPI:1750649786
Name:MERCED-ORTIZ, FRANCISCO GABRIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:GABRIEL
Last Name:MERCED-ORTIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 11577
Mailing Address - Street 2:FERNANDEZ JUNCOS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910
Mailing Address - Country:US
Mailing Address - Phone:787-723-5017
Mailing Address - Fax:787-723-5015
Practice Address - Street 1:1492 AVE PONCE DE LEON
Practice Address - Street 2:EDIF CENTRO EUROPA SUITE 717
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-723-5017
Practice Address - Fax:787-723-5015
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2021-09-08
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Provider Licenses
StateLicense IDTaxonomies
PR18694207R00000X, 207RA0001X, 207RC0200X, 208M00000X, 207RC0000X
LA18694207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR18694OtherLICENSE