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NPI Code Detail

MEDICARE: DAMARIS GARCIA MERCADO

MEDICARE: DAMARIS GARCIA MERCADO
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 Psychologist
2283Q00000XPsychiatric Hospital
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1801334198
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAMARIS GARCIA MERCADO
Provider Business Mailing Address
First Line : PO BOX 70344
Second Line : PMB 378
City : SAN JUAN
State : PR
Zip : 00936-8344
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 445 AVE GONZALEZ CLEMENTE
Second Line : VAL HARBOUR PLAZA SUITE 211B
City : MAYAGUEZ
State : PR
Zip : 00682-1136
Country : US
Telephone Number : 787-630-5171
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. DAMARIS GARCIA
Credential : PHD
Telephone Number : 787-630-5171
Provider Enumeration Date : 02/07/2017
Last Update Date : 02/07/2017

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Directions to “DAMARIS GARCIA MERCADO ” Practice Location

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