1841445566 NPI number — ERIKA ALFARO MERCADO

Table of content: ERIKA ALFARO MERCADO (NPI 1841445566)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841445566 NPI number — ERIKA ALFARO MERCADO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALFARO MERCADO
Provider First Name:
ERIKA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841445566
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARR. 475 KM 0 HCT 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ISABELA
Provider Business Mailing Address State Name:
PUERTO RICO
Provider Business Mailing Address Postal Code:
00662
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-207-3084
Provider Business Mailing Address Fax Number:
787-880-3733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE 16 V1
Provider Second Line Business Practice Location Address:
URB VILLA LOS SANTOS
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-879-1609
Provider Business Practice Location Address Fax Number:
787-880-3733
Provider Enumeration Date:
11/21/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246QM0706X , with the licence number:  6983 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)