Provider Demographics
NPI:1841445566
Name:ALFARO MERCADO, ERIKA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ALFARO MERCADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR. 475 KM 0 HCT 4
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00662
Mailing Address - Country:UM
Mailing Address - Phone:787-207-3084
Mailing Address - Fax:787-880-3733
Practice Address - Street 1:CALLE 16 V1
Practice Address - Street 2:URB VILLA LOS SANTOS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-879-1609
Practice Address - Fax:787-880-3733
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6983246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist