Healthcare Provider Details

I. General information

NPI: 1235913823
Provider Name (Legal Business Name): YASHIRA M MONROUZEAU MERCADO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 493 INT. KM. 1.3 CALLE LOS RODRIGUEZ SECTOR ORATO
HATILLO PR
00659
US

IV. Provider business mailing address

PO BOX 141475
ARECIBO PR
00614-1475
US

V. Phone/Fax

Practice location:
  • Phone: 787-872-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: