Provider Demographics
NPI:1336386515
Name:EAST A. MERE, MD C.S.P.
Entity Type:Organization
Organization Name:EAST A. MERE, MD C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EAST
Authorized Official - Middle Name:A
Authorized Official - Last Name:MERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-767-2131
Mailing Address - Street 1:445 CESAR GONZALEZ
Mailing Address - Street 2:URB. ROOSEVELT
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-767-2177
Mailing Address - Fax:787-766-0534
Practice Address - Street 1:445 CESAR GONZALEZ
Practice Address - Street 2:URB. ROOSEVELT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-767-2177
Practice Address - Fax:787-766-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11422174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty