Javier Portalatin Mercado Sr., PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3146 Issued in PR

Practice address

Carretera Lago Garzas KM 1.2
Adjuntas, PR 00601-0440

Phone

(787) 829-0648

NPI assigned

Feb 4, 2009

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital General de Castaner Inc

  • General Acute Care Hospital
  • Castaner, PR
  • NPI 1760486344
  Medicare reassignment NPD
• Hospital General de Castaner Inc.

  • Federally Qualified Health Center (FQHC)
  • Jayuya, PR
  • NPI 1073040689
  NPD
• Hospital General de Castaner Inc

  • Federally Qualified Health Center (FQHC)
  • Castaner, PR
  • NPI 1255752325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1174761746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006010440",
            "telephone_number": "787-829-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA LAGO GARZAS KM 1.2",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006010440",
            "telephone_number": "787-829-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALATIN MERCADO",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3146",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie M Padua, MCR
• Sigrid D. Perez Frontera, M.D.
• Jose R. Perez Valentin, M.D.
• Karen Lyzette Piazza
• Aili L Plaza, MEDICAL TECHNOLOGIST
• Jan Michelle Ramirez, AUX
• Griselda Ramos Cedeno
• Ivette Ramos Gonzalez
• Rigoberto Ramos Gonzalez, MD
• Paola Mayerlie Rios Jimenez

• Clinical Psychologist in Adjuntas, PR
• Providers in Adjuntas, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.