Merced, Mary

Merced, Mary is an individual health care provider with primary practice located at Urb Lomas Verdes Nogal Ave. 4X-2, Bayamon PR 00956. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Merced, Mary can be contacted via phone (787) 798-1315.

Contact Information

Primary practice address
Urb Lomas Verdes Nogal Ave. 4X-2 Bayamon PR 00956
Phone: (787) 798-1315
Fax: (787) 780-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 481 Puerto Rico

Profile Details

NPI number 1639177116
LBN Legal business name Merced, Mary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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 1639177116 NPPES
Puerto Rico MEDICAID 58213

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