Individual provider Active NPI

Raul Herreras Mercado, CLINSCD, MBE,CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1326252909
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL5367 Issued in AZ
Practice address
1900 N Oregon St Ste 100
El Paso, TX 79902-3333
Phone
(915) 533-1388
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL5367 AZ Primary

Addresses

Primary practice location

1900 N Oregon St Ste 100
El Paso, TX 79902-3333

Mailing address

3101 W. McDowell Road
Phoenix, AZ 85009
Phone (602) 442-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLPL5367AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silva Clinic Speech-Language Pathologist PastSince May 19, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1326252909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W. MCDOWELL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85009",
            "telephone_number": "602-442-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N OREGON ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023333",
            "telephone_number": "915-533-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERAS MERCADO",
        "first_name": "RAUL",
        "credential": "CLINSCD, MBE,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.