Provider Demographics
NPI:1821159500
Name:SOBRINO, MARIHER MERCEDES (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIHER
Middle Name:MERCEDES
Last Name:SOBRINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1777
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1777
Mailing Address - Country:US
Mailing Address - Phone:787-373-5886
Mailing Address - Fax:
Practice Address - Street 1:CALLE ESTEBAN B CRUZ
Practice Address - Street 2:SUITE #79-A
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-866-1777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor