Healthcare Provider Details

I. General information

NPI: 1689597783
Provider Name (Legal Business Name): KARELYS PADIN MERCADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 94.3 BO YEGUADA A12 CALLE PINAL DEL MAR
CAMUY PR
00627-0000
US

IV. Provider business mailing address

HC 3 BOX 12006
CAMUY PR
00627-9754
US

V. Phone/Fax

Practice location:
  • Phone: 787-379-4511
  • Fax:
Mailing address:
  • Phone: 787-379-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number003450
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: