Provider Demographics
NPI:1902146418
Name:MERCED, KARLAMARIE
Entity Type:Individual
Prefix:MRS
First Name:KARLAMARIE
Middle Name:
Last Name:MERCED
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:JARDINES DE CAGUAS B-40 CALLE PFC CARLOS J LOZADA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-2511
Mailing Address - Country:US
Mailing Address - Phone:787-236-4925
Mailing Address - Fax:
Practice Address - Street 1:VILLAS DE CASTRO CALLE 24 BB-13
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00725
Practice Address - Country:UM
Practice Address - Phone:787-236-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics