Provider Demographics
NPI:1780430405
Name:CARDENAS ONA, MERCEDES MARCELA (MD)
Entity type:Individual
Prefix:MS
First Name:MERCEDES
Middle Name:MARCELA
Last Name:CARDENAS ONA
Suffix:
Gender:
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:CAMINOS DEL INCA 145
Mailing Address - Street 2:D-12
Mailing Address - City:LIMA
Mailing Address - State:LIMA
Mailing Address - Zip Code:15086
Mailing Address - Country:PE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVENUE
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030
Practice Address - Country:US
Practice Address - Phone:860-679-2147
Practice Address - Fax:860-679-4624
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2025-03-06
Deactivation Date:2024-12-31
Deactivation Code:
Reactivation Date:2025-03-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program