Provider Demographics
NPI:1891026753
Name:PEDRO MERCADO
Entity Type:Organization
Organization Name:PEDRO MERCADO
Other - Org Name:SIUL AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-998-7271
Mailing Address - Street 1:20-6 CALLE 19
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5751
Mailing Address - Country:US
Mailing Address - Phone:787-998-7271
Mailing Address - Fax:787-998-7271
Practice Address - Street 1:20-6 CALLE 19
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5751
Practice Address - Country:US
Practice Address - Phone:787-998-7271
Practice Address - Fax:787-998-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport