Provider Demographics
NPI:1942757349
Name:MERCADO AROCHO, ABNER EMILIO (MD)
Entity Type:Individual
Prefix:
First Name:ABNER
Middle Name:EMILIO
Last Name:MERCADO AROCHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ABNER
Other - Middle Name:E
Other - Last Name:MERCADO AROCHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:HC 8 BOX 89002
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-8844
Mailing Address - Country:US
Mailing Address - Phone:787-457-4867
Mailing Address - Fax:
Practice Address - Street 1:17 DAVIS BLVD STE 308
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3438
Practice Address - Country:US
Practice Address - Phone:786-292-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME1611762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program