Provider Demographics
NPI:1548491236
Name:SCHAAFSMA, MERCEDES PLASENCIA (DO)
Entity type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:PLASENCIA
Last Name:SCHAAFSMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARIA DELAS MERCEDES
Other - Middle Name:PLASENCIA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:10691 N KENDALL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1595
Mailing Address - Country:US
Mailing Address - Phone:305-479-2636
Mailing Address - Fax:786-414-1258
Practice Address - Street 1:10691 N KENDALL DR STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1595
Practice Address - Country:US
Practice Address - Phone:305-479-2636
Practice Address - Fax:786-414-1258
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 7373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF42584Medicare UPIN