Provider Demographics
NPI:1780850347
Name:DE MERCADO, SYLVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:DE MERCADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SYLVIA
Other - Middle Name:DE L
Other - Last Name:DE MERCADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PMB 485
Mailing Address - Street 2:PO BOX 7891
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-7891
Mailing Address - Country:US
Mailing Address - Phone:787-579-1208
Mailing Address - Fax:
Practice Address - Street 1:1851 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-3011
Practice Address - Country:US
Practice Address - Phone:787-792-6792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5391208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics