Active NPIIndividual providerSole proprietor

Dr. Larissa S Mercado Jimenez, PSYD

Psychologist, Clinical in Mayaguez, Puerto Rico

NPI Number1992373716
Practice location
445 Ave Gonzalez Clemente Ste 215, Mayaguez, PR 00682-1107
Fax
—
Last updated
November 3, 2021

Larissa Suzette Mercado Jimenez is a Psychologist, Clinical based in Mayaguez, PR. Larissa Suzette Mercado Jimenez practices in Mayaguez, PR and has the professional credentials of PSYD. The NPI Number for Larissa Suzette Mercado Jimenez is 1992373716 and holds a License No. 6834 (PR). The current practice location address for Larissa Suzette Mercado Jimenez is 445 Ave Gonzalez Clemente Ste 215, Mayaguez, PR 00682-1107 and can be reached out via phone at 939-525-3222.

Provider Profile Details

NPI Number
1992373716
Provider Name
Larissa Suzette Mercado Jimenez
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
445 Ave Gonzalez Clemente Ste 215, Mayaguez, PR 00682-1107
Phone Number
939-525-3222
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2021
Last Update Date
November 3, 2021
Certification Date
October 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
445 Ave Gonzalez Clemente Ste 215
Mayaguez, PR 00682-1107
Zip
00682-1107
Phone Number
939-525-3222
Mayaguez, PR 00682Get directions →

Provider Business Mailing Address Details

Address
445 Ave Gonzalez Clemente Ste 304
Mayaguez, PR 00682-1107
City
Mayaguez
State
PR
Zip
00682-1107
Phone Number
787-560-6178

License Information

License Number
6834
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. Larissa S Mercado Jimenez, PSYD?

The NPI number of Dr. Larissa S Mercado Jimenez, PSYD is 1992373716. It was assigned on June 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Larissa S Mercado Jimenez, PSYD?

Dr. Larissa S Mercado Jimenez, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6834.

Where does Dr. Larissa S Mercado Jimenez, PSYD practice?

The practice location is 445 Ave Gonzalez Clemente Ste 215, Mayaguez, PR 00682-1107. The office can be reached at 939-525-3222 (phone).

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 1992373716 directly on the NPPES registry website.

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