Healthcare Provider Details

I. General information

NPI: 1346734225
Provider Name (Legal Business Name): BEGGY LIZ SANTIAGO-MERCADO PHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB FLAMINGO TERRACE A-9 CALLE MARGINAL
BAYAMON PR
00957-4340
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 TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4125
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: