Active NPI
Astrid Marie Viera Mercado, MS
- Psychologist
- Quebradillas, PR
National Provider Identifier
1285451070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7098
- Practice address
- 42905 Carr 482
Barrio Cocos
Quebradillas, PR 00678 - Phone
- (939) 366-6802
- NPI assigned
- Sep 23, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7098 | PR | Primary |
Addresses
Primary practice location
42905 Carr 482
Barrio Cocos
Quebradillas, PR 00678
Mailing address
7045 Callejon a Roman
Quebradillas, PR 00678-9710
Phone (939) 366-6802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217000032 | PR | Practitioner - Psychologist Billing Independently | 0042746950 | Practice locations: Quebradillas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1285451070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7045 CALLEJON A ROMAN",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006789710",
"telephone_number": "939-366-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42905 CARR 482",
"address_2": "BARRIO COCOS",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "939-366-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERA MERCADO",
"first_name": "ASTRID",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PR",
"license": "7098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.