Individual
YAZMIN MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1135 AVE 65 INFANTERIA, STE 17, SAN JUAN, PR 00924-3402
(787) 414-6636
Mailing address
HC 1 BOX 4206, LARES, PR 00669-9606
(787) 414-6636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5829
PR
Other
Enumeration date
07/07/2015
Last updated
04/10/2017
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