Healthcare Provider Details

I. General information

NPI: 1114833126
Provider Name (Legal Business Name): KARLA J MERCADO MSOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1797 AVE. PONCE DE LEON LOCAL D BARRIO MONACILLOS
SAN JUAN PR
00926
US

IV. Provider business mailing address

PO BOX 173
CATANO PR
00963-0173
US

V. Phone/Fax

Practice location:
  • Phone: 787-502-2198
  • Fax:
Mailing address:
  • Phone: 787-502-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1334
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: