Provider Demographics
NPI:1770044844
Name:DR. MERCADO HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DR. MERCADO HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIE
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-393-3310
Mailing Address - Street 1:ESTANCIAS DEL GOLF CLUB
Mailing Address - Street 2:386 JUAN H CINTRON
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-393-3310
Mailing Address - Fax:
Practice Address - Street 1:ROVIRA OFFICE PARK
Practice Address - Street 2:623 AVE LA CEIBA SUITE 203
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-393-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty