Provider Demographics
NPI:1215812557
Name:VELEZ MERCADO, KAREN MICHELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MICHELLE
Last Name:VELEZ MERCADO
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 1:242 HACIENDAS DE CAMUY
Mailing Address - Street 2:C-5
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627
Mailing Address - Country:US
Mailing Address - Phone:787-318-4453
Mailing Address - Fax:
Practice Address - Street 1:CALLE SARGENTO ISRAEL MALARET JUARBE 418
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:939-287-5539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8317103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical