Individual provider Active NPI

Katherine I Mercado-Nazario, M.D.

  • Psychiatry Physician
  • Vega Alta, PR
National Provider Identifier
1700022282
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17401 Issued in PR
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

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
17401PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.