Individual
DR. JOSE M ORTIZ MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
CARR. 402 KM 1.8, ANASCO, PR 00610-0061
(787) 209-1483
Mailing address
PO BOX 993, ANASCO, PR 00610-0993
(787) 209-1483
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3018
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3018
LICENCIA PERMANENTE
PR
Enumeration date
05/27/2008
Last updated
04/30/2024
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