Active NPI
Dimaris Garcia Mercado, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1609125996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4267
- Practice address
- #458 Jose Canales, Seminario Teologico de PR
Suite 01 Piso
San Juan, PR 00918 - Phone
- (939) 639-6642
- NPI assigned
- Sep 3, 2012
- Last updated
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 4267 | PR | Primary |
Addresses
Primary practice location
#458 Jose Canales, Seminario Teologico de PR
Suite 01 Piso
San Juan, PR 00918
Mailing address
Torrevista Apartment, Apto 1104
Paseo Trio Vegabajeno
Vega Baja, PUERTO RICO 00693
AN
Phone (787) 630-5172
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4267 | PR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audifonos Audio Centro 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- San Juan, PR
- NPI 1902966948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1609125996",
"addresses": [
{
"country_code": "AN",
"country_name": "Netherlands Antilles",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "TORREVISTA APARTMENT, APTO 1104",
"address_2": "PASEO TRIO VEGABAJENO",
"city": "VEGA BAJA",
"state": "PUERTO RICO",
"postal_code": "00693",
"telephone_number": "787-630-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#458 JOSE CANALES, SEMINARIO TEOLOGICO DE PR",
"address_2": "SUITE 01 PISO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "939-639-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA MERCADO",
"first_name": "DIMARIS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-03",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "4267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.