Provider Demographics
NPI:1417247651
Name:ALICEA MERCED, SOLYMAR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SOLYMAR
Middle Name:
Last Name:ALICEA MERCED
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA DEL CARMEN
Mailing Address - Street 2:CALLE TURIN #2250
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-385-2868
Mailing Address - Fax:
Practice Address - Street 1:CIMA-ROAD PR-1 PLAZA CAYEY
Practice Address - Street 2:BO. MONTELLANO
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-520-7157
Practice Address - Fax:787-530-7164
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3843261QM0801X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)