Transforma Medical Mall Corp.
NPI #1194960773 in Bayamon, Puerto Rico
Provider Information
- NPI Number
- 1194960773
- Entity Type
- Organization
- Organization Name
- Transforma Medical Mall Corp.
- Primary Specialty
- General Practice
- Enumeration Date
- Dec 10, 2008
- Last Updated
- Dec 10, 2008
Practice Location
- Address
- CALLE 2 G-14
- Address 2
- URB. VILLA RICA
- City
- Bayamon
- State
- Puerto Rico
- ZIP Code
- 00959
- Phone
- (787) 785-4402
Authorized Official
- Name
- DR. ISMAEL MERCADO, M.D.
- Title
- CEO
- Phone
- (787) 785-4402
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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