Provider Demographics
NPI:1700022282
Name:MERCADO-NAZARIO, KATHERINE I (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:I
Last Name:MERCADO-NAZARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3187
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-3187
Mailing Address - Country:US
Mailing Address - Phone:787-529-0437
Mailing Address - Fax:
Practice Address - Street 1:KM 31.7 CARR #2
Practice Address - Street 2:BARRIO BAJURA
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-941-3619
Practice Address - Fax:903-213-9127
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR174012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry