Active NPI
Smirna Ivette Mercado
- Clinical Social Worker
- Aibonito, PR
National Provider Identifier
1730949421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16496
- Practice address
- Colinas San Francisco Valeria 114
Valeria 114
Aibonito, PR 00705 - Phone
- (787) 219-0254
- NPI assigned
- Mar 20, 2024
- 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 | 16496 | PR | Primary |
Addresses
Primary practice location
Colinas San Francisco Valeria 114
Valeria 114
Aibonito, PR 00705
Mailing address
Colinas San Francisco Valeria 114
Valeria 114
Aibonito, PR 00705
Phone (178) 721-9025
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1730949421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLINAS SAN FRANCISCO VALERIA 114",
"address_2": "VALERIA 114",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "178-721-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLINAS SAN FRANCISCO VALERIA 114",
"address_2": "VALERIA 114",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-219-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "SMIRNA",
"middle_name": "IVETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "16496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
- Mennonite General Hospital,Inc. (Hospimedica)
- Mennonite General Hospital,Inc. (Hospimedica)
- Mennonite General Hospital,Inc. (Mennonite Hospice)
- Loreane Mercado Colon, MPSY
- Edmarie Mercado, PSICOLOGA
- Carlos Ediemil Milan Sr., MSW
- Iriana Miranda Alvarado
- Zorimar Mojica Guzman, OTH
- Pedro Juan Molina Figueroa, MSW
- Gloridel Molina Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.