NPIMap

Zoljenice De Juan Mercado, SLP

Individual provider Active NPI Speech-Language Pathologist · Quebradillas, PR

NPI 1366099707 · NPPES record last updated Mar 5, 2025

Key facts

NPI
1366099707
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4585 (PR)
Practice address
Carr 478 KM 2.1 Bo San Antonio
Quebradillas, PR 00678
Phone
(787) 216-7720
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4585PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Terapeutico Glorimar Vega Inc. Past
since Dec 1, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4585 PR Yes

Addresses

Primary practice location

Carr 478 KM 2.1 Bo San Antonio
Quebradillas, PR 00678

Mailing address

PO Box 1154
Quebradillas, PR 00678

Other practice location 1

3361 Ave Militar
Carr. 2 Km 112.3 Bo. Arenales Alto
Isabela, PR 00662-4082
Phone (787) 956-0297

Other practice location 2

Carr. 2 Km 92.3 Int.
Bo. Puente Pena
Camuy, PR 00627-9502
Phone (787) 680-1200

Other providers in Quebradillas, PR

All providers in Quebradillas, PR · Speech-Language Pathologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.