Raul E Mercado Santisteban, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006087 Issued in PR

Practice address

Cond Casamaggiore
Guaynabo, PR 00969

Phone

(787) 515-7427

NPI assigned

Aug 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279
  Medicare reassignment NPD
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

  • Community/Retail Pharmacy
  • Hatillo, PR
  • NPI 1659406015
  NPD (past)
• Mentecreativa Bienestar Cuerpo-Mente Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arecibo, PR
  • NPI 1073939179
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1629559661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND CASAMAGGIORE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-515-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CASAMAGGIORE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-515-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO SANTISTEBAN",
        "first_name": "RAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "006087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinaldo Mercado Mercado, 1266P
• Idalis Mercado Negron, MPHE, CTTS, CHES
• Julissa Mercado Rodriguez, 1166P
• Miguel A Mercado Rodriguez, 0725B
• Luis Mercado Santiago, 1412B
• Maria De Los Angeles Mercado Torres, 0833P
• Lyvette Mercado Velez
• Zoe Mangual Mercado
• Jose J Merced Torres, 1055P
• Marisol Merced, RN,BSN

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.