=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497654438
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MHC INTEGRATIVE SERVICES LCC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2026
-----------------------------------------------------
Last Update Date | 11/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 322 CALLE JOHN ALBERT, GLOBAL PLAZA OFFICE 204
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00920-1614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-690-0311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 414
-----------------------------------------------------
City | SABANA SECA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00952-0414
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-690-0311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MIEMBRO/ADMINISTRADOR
-----------------------------------------------------
Name | MISS CAROLINE RODRIGUEZ MERCADO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-690-0311
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------