Active NPI
Elizabeth Hermina Mercado, PSYD
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1346382801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1857
- Practice address
- Migrant Health Center, Inc.
392 Sur Calle Ramon Emeterio Betances
Mayaguez, PR 00680 - Phone
- (787) 805-2900
- Fax
- (787) 834-1924
- NPI assigned
- Feb 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1857 | PR | Primary |
| Psychologist | 103T00000X | 1857 | PR |
Addresses
Primary practice location
Migrant Health Center, Inc.
392 Sur Calle Ramon Emeterio Betances
Mayaguez, PR 00680
Mailing address
PO Box 190
Mayaguez, PR 00681-0190
Phone (787) 805-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7082 | Other | PR | FIRST MEDICAL |
Other names 1
- Dr. Elizabeth Hermina
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Migrant Health Center Western Region,Inc | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Migrant Health Center Western Region Inc | Past | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Past | Accepting new patients |
Locations
392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 317-5187
497 Calle Rmn Btnces S
Mayaguez, PR 00680
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Clinic Pharmacy
- Yauco, PR
- NPI 1093262297
-
- Clinic Pharmacy
- San Sebastian, PR
- NPI 1114064102
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1346382801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006810190",
"telephone_number": "787-805-2900",
"fax_number": "787-834-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MIGRANT HEALTH CENTER, INC.",
"address_2": "392 SUR CALLE RAMON EMETERIO BETANCES",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-805-2900",
"fax_number": "787-834-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMINA MERCADO",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1857",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1857",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "7082",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "HERMINA",
"prefix": "DR.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mayaguez, PR
- Harmony Care Group LLC
- Harmony Health Medical Center Dra. Marie Monique Henriquez Crespo Primary Medicine LLC
- Health Department
- Hector M. Alonso Gonzalez/Farmacia Post & Manolo'S Bakery
- Cristina Del Mar Heredia
- Gabriela A. Hernandez Beauchamp, ND
- Elvin G. Hernandez Crespo, M.D.
- Agnelis Hernandez Cupeles, PA
- Aixa Lynn Hernandez Lassalle, PHARM D.
- Lizaida Hernandez Lucena
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.