Provider Demographics
NPI:1952309197
Name:CARRION-CASTRO, MERCEDES F (MD)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:F
Last Name:CARRION-CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOIZA STATION BOX 12109
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00914-0109
Mailing Address - Country:US
Mailing Address - Phone:787-642-6386
Mailing Address - Fax:787-790-3851
Practice Address - Street 1:BOX 12109
Practice Address - Street 2:LORIZA STATION -
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00914-0109
Practice Address - Country:US
Practice Address - Phone:787-642-6386
Practice Address - Fax:787-790-3851
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6597207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology