Provider Demographics
NPI:1831307230
Name:MERCADO-QUINONES, FRANCISCO JOSE (CPHT)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:MERCADO-QUINONES
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:673 CALLE ACEITILLO
Mailing Address - Street 2:LOS CAOBOS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2604
Mailing Address - Country:US
Mailing Address - Phone:787-601-6111
Mailing Address - Fax:787-709-4039
Practice Address - Street 1:3305 AVE BARAMAYA
Practice Address - Street 2:SUITE 100 REINA DEL SUR
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-709-4036
Practice Address - Fax:787-709-4039
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3286183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician