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1306010699
JOSE LUIS MERCADO SANTIAGO
ISABELA, PR
NPI
1306010699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 17119)
Enumeration Date
2008-04-17
Last Update Date
2011-03-10
Business Address
JOSE LUIS MERCADO SANTIAGO MD
CARR. #2 K.M 106.4
ISABELA, PR 00662
Phone number: 787-484-1793
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Mailing Address
JOSE LUIS MERCADO SANTIAGO MD
PO BOX 2479
ISABELA, PR 00662-9479
Phone number: 787-484-1793
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