Provider Demographics
NPI:1063516771
Name:CLNICA DR. MERLOS Y ASOCIADOS
Entity type:Organization
Organization Name:CLNICA DR. MERLOS Y ASOCIADOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PASCUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-764-7071
Mailing Address - Street 1:TORRE MDICA AUXILIO MUTUO SUITE 203
Mailing Address - Street 2:AVE. PONCE DE LEN 735
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-764-7071
Mailing Address - Fax:787-287-7314
Practice Address - Street 1:TORRE MDICA AUXILIO MUTUO SUITE 203
Practice Address - Street 2:AVE. PONCE DE LEN 735
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-764-7071
Practice Address - Fax:787-287-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2213261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center