| Manuel J Mercado Md Pa | |
|
502 S Cage Blvd Pharr TX 78577-5449 | |
| (956) 702-1013 | |
| (956) 781-5196 |
| Full Name | Manuel J Mercado Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 S Cage Blvd, Pharr, Texas |
| Authorized Official Name and Position | Manuel J Mercado (OWNER) |
| Authorized Official Contact | 9567021013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel J Mercado Md Pa 502 S Cage Blvd Pharr TX 78577-5449 Ph: (956) 702-1013 | Manuel J Mercado Md Pa 502 S Cage Blvd Pharr TX 78577-5449 Ph: (956) 702-1013 |
| NPI Number | 1427020676 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 01/27/2012 |
| Medicare PECOS PAC ID | 4587792924 |
|---|---|
| Medicare Enrollment ID | O20100505001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427020676 | NPI | - | NPPES |
| DC8176 | Other | TX | RAILROAD MEDICARE |
| 0033QF | Other | TX | BCBS |
| 0087GT | Other | BLUE CROSS BLUE SHIELD | |
| 155460201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| Provider Name | Manuel Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919228 PECOS PAC ID: 2062549793 Enrollment ID: I20100428000600 |
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