Olivo Mercedes, Yohanna Maria

Olivo Mercedes, Yohanna Maria is an individual health care provider with primary practice located at 2676 Grand Concourse A, Bronx NY 10458-4914. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Olivo Mercedes, Yohanna Maria can be contacted via phone (718) 708-4040.

Contact Information

Primary practice address
2676 Grand Concourse A Bronx NY 10458-4914
Phone: (718) 708-4040
Fax: (718) 708-6040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME108333 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA09215300 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 266860 New York

Profile Details

NPI number 1639346869
LBN Legal business name Olivo Mercedes, Yohanna Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Sep 29th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639346869 NPPES
Florida MEDICAID 003250800
Florida MEDICAID 0333794
Florida Other 268781YH9B.
Florida Other A400097542
Florida MEDICAID 03637116

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