Active NPI
Virginia Denise Mercado
- Clinical Social Worker
- Rio Piedras, PR
National Provider Identifier
1487308581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10836
- Practice address
- State Road 877 KM 1.6 Caminos Las Lomas
Rio Piedras, PR 00926 - Phone
- (787) 760-0222
- NPI assigned
- Feb 8, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10836 | PR | Primary |
Addresses
Primary practice location
State Road 877 KM 1.6 Caminos Las Lomas
Rio Piedras, PR 00926
Mailing address
State Road 877 KM 1.6
Camino Las Lomas
San Juan, PR 00926
Phone (787) 760-0222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10836 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Capestrano Hospital, Inc. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hatillo, PR
- NPI 1669673885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1487308581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STATE ROAD 877 KM 1.6",
"address_2": "CAMINO LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STATE ROAD 877 KM 1.6 CAMINOS LAS LOMAS",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "VIRGINIA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "10836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.