| Doctor Name: | LUZ OMAYRA MERCADO |
| NPI Number: | 1013345487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 11430 |
| Business Practice Address: | Carr. Luis Munoz Rivera 48 Suite 10 Centro Plaza Leonardo Aviles Camuy, PR - 00627 |
| Business Phone Number: | 7879300836 |
| Business Fax Number: | 8002805358 |
| Mailing Address: | Po Box 654, BAJADERO |
| State: | PR |
| Postal Code: | 006160654 |
| Phone Number: | 7879300836 |
| Fax Number: | 8002805358 |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 11430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |