| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GLADIS MARIANA MERCADO | 1184352411 | 2022-08-14 |
Gladis Mariana Mercado is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184352411. Registration indicates Gladis Mariana Mercado is a provider of services with a specialization in Other Service Providers, Peer Specialist (Peer Specialist, Other Service Providers) (Peer Specialist, )
| Entity Type | Individual |
| Provider Name | Gladis Mariana Mercado |
| Practice Office Address | 105 BERTHA RD TAOS, NM US |
| Practice Office Telephone | 5757584297 |
| Mailing Address | 2905 JOE SANCHEZ RD SW ALBUQUERQUE, NM 871055640 US |
| Business Telephone | 5059176085 |
| Other URL [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist |