Pacheco, Mercedes

Pacheco, Mercedes is an individual health care provider with primary practice located at 1085 N Main St , Providence RI 02904-5719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Pacheco, Mercedes can be contacted via phone (401) 415-4200.

Contact Information

Primary practice address
1085 N Main St Providence RI 02904-5719
Phone: (401) 415-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13437 New Hampshire
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD14577 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 250361 Massachusetts

Profile Details

NPI number 1629020524
LBN Legal business name Pacheco, Mercedes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 6th, 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 1629020524 NPPES
New Hampshire MEDICAID 30206732

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