Active NPI
Mildred Enid Mercado Valle, M.S.W.
- Social Worker
- San Sebastian, PR
National Provider Identifier
1245456201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9036
- Practice address
- 1631 Avenida Emerito Estrada
San Sebastian, PR 00685-3118 - Phone
- (787) 413-1942
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9036 | PR | Primary |
Addresses
Primary practice location
1631 Avenida Emerito Estrada
San Sebastian, PR 00685-3118
Mailing address
HC 1 Box 11592
San Sebastian, PR 00685-6411
Other names 1
- Mrs. Mildred Mercado Valle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9036 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plenitud Psicoterapia Y Autocuidado LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- San Sebastian, PR
- NPI 1770365561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1245456201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11592",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006856411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 AVENIDA EMERITO ESTRADA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006853118",
"telephone_number": "787-413-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO VALLE",
"first_name": "MILDRED",
"middle_name": "ENID",
"name_prefix": "Mrs.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "9036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILDRED",
"last_name": "VALLE",
"middle_name": "MERCADO",
"prefix": "MRS.",
"credential": "M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.