Provider Demographics
NPI:1740994748
Name:MERCADO ALVARADO, DELISMARIE (DC)
Entity type:Individual
Prefix:
First Name:DELISMARIE
Middle Name:
Last Name:MERCADO ALVARADO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 N LOOP 1604 W APT 4101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1782
Mailing Address - Country:US
Mailing Address - Phone:787-546-5586
Mailing Address - Fax:
Practice Address - Street 1:1996 SCHERTZ PKWY STE 502
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1677
Practice Address - Country:US
Practice Address - Phone:210-960-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor