Healthcare Provider Details

I. General information

NPI: 1558271973
Provider Name (Legal Business Name): MERCEDES GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARCELAS GUAYABAL, CALLE 6 #95
JUANA DIAZ PR
00795-9515
US

IV. Provider business mailing address

1661 CALLE ANAPOLIS URB SAN GERARDO
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 939-328-3588
  • Fax:
Mailing address:
  • Phone: 787-479-0690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0489
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: