Active NPI
Katherine I Mercado-Nazario, M.D.
- Psychiatry Physician
- Vega Alta, PR
National Provider Identifier
1700022282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17401
- Practice address
- KM 31.7 Carr #2
Barrio Bajura
Vega Alta, PR 00692 - Phone
- (787) 941-3619
- Fax
- (903) 213-9127
- NPI assigned
- Jan 5, 2009
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17401 | PR | Primary |
Addresses
Primary practice location
KM 31.7 Carr #2
Barrio Bajura
Vega Alta, PR 00692
Mailing address
PO Box 3187
Bayamon, PR 00960-3187
Phone (787) 529-0437
Other practice location 1
11212 State Highway 151 Ste 120
San Antonio, TX 78251-4498
Phone (939) 402-7608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151130001283 | PR | Practitioner - Psychiatry | 4981904745 | Practice locations: Vega Alta, PR |
| I20231013000829 | TX | Practitioner - Psychiatry | 4981904745 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University Central del Caribe Escuela de Medicina, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13 7 Carr 693 KM Sector Brenas
Vega Alta, PR 00692
Phone (787) 915-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17401 | PR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morovis Community Health Center, Inc. | Past | Accepting new patients | |
| Aps Clinics of Puerto Rico, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1336194448
Psychiatry
-
- Clinic/Center
- Vega Alta, PR
- NPI 1376135053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1700022282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3187",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009603187",
"telephone_number": "787-529-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 31.7 CARR #2",
"address_2": "BARRIO BAJURA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-941-3619",
"fax_number": "903-213-9127"
}
],
"practiceLocations": [
{
"address_1": "11212 State Highway 151 Ste 120",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782514498",
"country_code": "US",
"telephone_number": "939-402-7608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO-NAZARIO",
"first_name": "KATHERINE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "17401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.