Provider Demographics
NPI:1003988593
Name:MERCADO, NATHANIEL (PHARMD)
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:
Last Name:MERCADO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1836
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1836
Mailing Address - Country:US
Mailing Address - Phone:787-739-3522
Mailing Address - Fax:787-739-3501
Practice Address - Street 1:CENTRO COMERCIAL VILLA DEL CARMEN
Practice Address - Street 2:LOCAL 101 CARR 734 KM 0.4
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-1836
Practice Address - Country:US
Practice Address - Phone:787-739-3522
Practice Address - Fax:787-739-3501
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist