Merced, Mary
Merced, Mary is an individual health care provider with primary practice located at Urb Lomas Verdes Nogal Ave. 4X-2, Bayamon PR 00956. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Merced, Mary can be contacted via phone (787) 798-1315.Contact Information
Primary practice address
Urb Lomas Verdes Nogal Ave. 4X-2
Bayamon PR 00956
Phone: (787) 798-1315
Fax: (787) 780-5538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 481 | Puerto Rico |
Profile Details
| NPI number | 1639177116 |
|---|---|
| LBN Legal business name | Merced, Mary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639177116 | NPPES |
| Puerto Rico | MEDICAID | 58213 |
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