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NPI Code Detail

MEDICARE: DR. NICOLE DE LA TORRE MERCADO PSY.D

MEDICARE:  DR. NICOLE  DE LA TORRE MERCADO  PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6991PR

General Provider Information

NPI Number : 1528639895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE DE LA TORRE MERCADO PSY.D
Provider Business Mailing Address
First Line : PO BOX 262
Second Line :
City : CABO ROJO
State : PR
Zip : 00623-0262
Country : US
Telephone Number : 787-458-9359
Fax Number :
Provider Business Practice Location Address
First Line : 90 CALLE ALONDRA, 65 INFANTERIA PLAZA65
Second Line : SHOPPING CENTER SUITE 30 SABANA LLANA NORTE
City : SAN JUAN
State : PR
Zip : 00924-3254
Country : UM
Telephone Number : 787-377-2035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 03/17/2024

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Directions to “ DR. NICOLE DE LA TORRE MERCADO PSY.D” Practice Location

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