Active NPIIndividual providerSole proprietor

Dr. Marisell Burgos Mercado, PHD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1295968915
Practice location
1290 Calle 54 SE, San Juan, PR 00921-3141
Fax
620-506-4381
Last updated
January 26, 2020

Marisell Burgos Mercado is a Psychologist, Clinical based in San Juan, PR. Marisell Burgos Mercado practices in San Juan, PR and has the professional credentials of PHD. The NPI Number for Marisell Burgos Mercado is 1295968915 and holds a License No. 2047 (PR). The current practice location address for Marisell Burgos Mercado is 1290 Calle 54 SE, San Juan, PR 00921-3141 and can be reached out via phone at 787-664-3816 and via fax at 620-506-4381.

Provider Profile Details

NPI Number
1295968915
Provider Name
Marisell Burgos Mercado
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1290 Calle 54 SE, San Juan, PR 00921-3141
Phone Number
787-664-3816
Fax Number
620-506-4381
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2009
Last Update Date
January 26, 2020
Certification Date
January 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Calle 54 SE
San Juan, PR 00921-3141
Zip
00921-3141
Phone Number
787-664-3816
Fax Number
620-506-4381
San Juan, PR 00921Get directions →

Provider Business Mailing Address Details

Address
Po Box 190705
San Juan, PR 00919-0705
City
San Juan
State
PR
Zip
00919-0705
Phone Number
787-390-7474

License Information

License Number
2047
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marisell Burgos Mercado, PHD?

The NPI number of Dr. Marisell Burgos Mercado, PHD is 1295968915. It was assigned on August 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Marisell Burgos Mercado, PHD?

Dr. Marisell Burgos Mercado, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 2047.

Where does Dr. Marisell Burgos Mercado, PHD practice?

The practice location is 1290 Calle 54 SE, San Juan, PR 00921-3141. The office can be reached at 787-664-3816 (phone) or 620-506-4381 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295968915 directly on the NPPES registry website.

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