MEDICARE: DR. RITA MILAGROS MERCADO APONTE PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	2562	PR

General Provider Information

NPI Number	:	1083692966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA MILAGROS MERCADO APONTE PSY.D

Provider Business Mailing Address
First Line	:	102 CALLE 1
Second Line	:	URBANIZACION JACAGUAX
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-2532
Country	:	US
Telephone Number	:	787-602-2063
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 CALLE LA CRUZ
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-2426
Country	:	US
Telephone Number	:	787-602-2963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	02/09/2019

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