Active NPI
Jose M Ortiz Mercado, PHD
- Counseling Psychologist
- Anasco, PR
National Provider Identifier
1871751909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3018
- Practice address
- Carr. 402 KM 1.8
Anasco, PR 00610-0061 - Phone
- (787) 209-1483
- NPI assigned
- May 27, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3018 | PR | Primary |
Addresses
Primary practice location
Carr. 402 KM 1.8
Anasco, PR 00610-0061
Mailing address
PO Box 993
Anasco, PR 00610-0993
Phone (787) 209-1483
Other practice location 1
Ave. Luis Llorens Torres Num. 249
Mayaguez, PR 00680
Phone (787) 209-1483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3018 | Other | PR | LICENCIA PERMANENTE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018 | PR | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1871751909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 993",
"city": "ANASCO",
"state": "PR",
"postal_code": "006100993",
"telephone_number": "787-209-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 402 KM 1.8",
"city": "ANASCO",
"state": "PR",
"postal_code": "006100061",
"telephone_number": "787-209-1483"
}
],
"practiceLocations": [
{
"address_1": "AVE. LUIS LLORENS TORRES NUM. 249",
"address_purpose": "LOCATION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"country_code": "US",
"telephone_number": "787-209-1483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ MERCADO",
"first_name": "JOSE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2024-04-30",
"certification_date": "2022-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA PERMANENTE",
"identifier": "3018",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.