Provider Demographics
NPI:1487531950
Name:DE CUBAS, MERCEDES MARGARITA (PHD)
Entity type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:MARGARITA
Last Name:DE CUBAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1229
Mailing Address - Country:US
Mailing Address - Phone:305-333-7652
Mailing Address - Fax:
Practice Address - Street 1:310 RIDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1229
Practice Address - Country:US
Practice Address - Phone:305-333-7652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003569103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist