| Doctor Name: | MRS. CARMEN MERCADO PENA |
| NPI Number: | 1659554756 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 2875 |
| Business Practice Address: | Hc 4 Box 50604 Morovis, PR - 006879665 |
| Business Phone Number: | 7873818220 |
| Business Fax Number: | 7878624043 |
| Mailing Address: | Hc 4 Box 50604, MOROVIS |
| State: | PR |
| Postal Code: | 006879665 |
| Phone Number: | 7873818220 |
| Fax Number: | 7878624043 |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |