Provider Demographics
NPI:1821150061
Name:MERCED RIVERA, NANCY I
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:I
Last Name:MERCED RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. LUIS MUNOZ MARIN 20
Mailing Address - Street 2:URB VILLA BLANCA PMB 175
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-980-5606
Mailing Address - Fax:
Practice Address - Street 1:AVE. LUIS MUNOZ MARIN
Practice Address - Street 2:URB. SANTA JUAN CALLE 12 J 1
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-980-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR297101YA0400X
PR5496103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)