Provider Demographics
NPI:1942746516
Name:MERCE Y OLE, LLC
Entity Type:Organization
Organization Name:MERCE Y OLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICES
Authorized Official - Prefix:
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMCH
Authorized Official - Phone:305-450-2384
Mailing Address - Street 1:9830 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2919
Mailing Address - Country:US
Mailing Address - Phone:305-450-2384
Mailing Address - Fax:
Practice Address - Street 1:9830 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2919
Practice Address - Country:US
Practice Address - Phone:305-450-2384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL62185251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health