Provider Demographics
NPI:1013442169
Name:NARVAEZ-MERCADO, HARRY PAUL
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:PAUL
Last Name:NARVAEZ-MERCADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15681 N US HIGHWAY 301
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-3154
Mailing Address - Country:US
Mailing Address - Phone:352-595-5000
Mailing Address - Fax:
Practice Address - Street 1:15681 N US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:CITRA
Practice Address - State:FL
Practice Address - Zip Code:32113-3154
Practice Address - Country:US
Practice Address - Phone:352-595-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health