Healthcare Provider Details

I. General information

NPI: 1063079226
Provider Name (Legal Business Name): WERNICKE CLINICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB FLAMINGO TERRACE CALLE MARGINAL CARR 167 A-9
BAYAMON PR
00961-9998
US

IV. Provider business mailing address

URB ESTANCIAS DE LA FUENTE 141 CALLE NARDO
TOA ALTA PR
00953-3685
US

V. Phone/Fax

Practice location:
  • Phone: 787-787-6944
  • Fax:
Mailing address:
  • Phone: 787-223-7964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BEGGY LIZ SANTIAGO-MERCADO
Title or Position: SOLE OWNER
Credential: SLP
Phone: 787-223-7964