Healthcare Provider Details

I. General information

NPI: 1356264535
Provider Name (Legal Business Name): ADRIANA MERCEDES DANNER VEGA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 PLAZA DEL PARQUE APT 303
SAN JUAN PR
00912
US

IV. Provider business mailing address

233 PLAZA DEL PARQUE APT 303
SAN JUAN PR
00912
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-9602
  • Fax:
Mailing address:
  • Phone: 787-466-9602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9016
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: