Diaz-Mercado, Gustavo A.

Diaz-Mercado, Gustavo A. is an sole proprietor health care provider with primary practice located at 180 W Esplanade Ave , Kenner LA 70065-2467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Diaz-Mercado, Gustavo A. can be contacted via phone (504) 464-8284.

Contact Information

Primary practice address
180 W Esplanade Ave Kenner LA 70065-2467
Phone: (504) 464-8284
Fax: (504) 464-8277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME133375 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X 20598 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 310142 Louisiana

Profile Details

NPI number 1073928768
LBN Legal business name Diaz-Mercado, Gustavo A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2014
Last updated Jun 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073928768 NPPES
Florida Other 20598 FLORIDA DEPARTMENT OF HEALTH

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