Provider Demographics
NPI:1891232666
Name:DR EDUARDO NEGRON MERCADO CSP
Entity type:Organization
Organization Name:DR EDUARDO NEGRON MERCADO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICINE GENERAL
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-868-8550
Mailing Address - Street 1:PO BOX 250190
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0190
Mailing Address - Country:US
Mailing Address - Phone:787-868-8550
Mailing Address - Fax:787-868-8550
Practice Address - Street 1:278 CALLE MARINA
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-2964
Practice Address - Country:US
Practice Address - Phone:787-868-8550
Practice Address - Fax:787-868-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty