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Individual

DR. JAVIER PORTALATIN MERCADO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
CARRETERA LAGO GARZAS KM 1.2, ADJUNTAS, PR 00601-0440
(787) 829-0648
Mailing address
PO BOX 440, ADJUNTAS, PR 00601-0440
(787) 829-0648

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3146
PR
103TC0700X
Clinical Psychologist
Primary
3146
PR

Other

Enumeration date
02/04/2009
Last updated
08/08/2023
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