Provider Demographics
NPI:1134098858
Name:MERCADO QUINONES, JESUS MIGUEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:MIGUEL
Last Name:MERCADO QUINONES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1224
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1224
Mailing Address - Country:US
Mailing Address - Phone:787-818-0100
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1224
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-1224
Practice Address - Country:US
Practice Address - Phone:787-818-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty