Provider Demographics
NPI:1144902115
Name:MERCADO LEON, FRANKY (EMT)
Entity type:Individual
Prefix:
First Name:FRANKY
Middle Name:
Last Name:MERCADO LEON
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB ALEMANY
Mailing Address - Street 2:CALLE ALEMANY 50
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-619-1953
Mailing Address - Fax:
Practice Address - Street 1:CARR 301 KM 0 HM 4
Practice Address - Street 2:BO . LAS ARENAS
Practice Address - City:BOQUERON
Practice Address - State:PR
Practice Address - Zip Code:00622
Practice Address - Country:US
Practice Address - Phone:787-619-1953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic