Provider Demographics
NPI:1932920568
Name:SM PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:SM PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZULMAIRIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS MERCADOS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-710-6720
Mailing Address - Street 1:URB VILLA DEL CARMEN CALLE SENTINA 872
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-710-6720
Mailing Address - Fax:
Practice Address - Street 1:77 CALLE TORRE APT C
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3815
Practice Address - Country:US
Practice Address - Phone:787-710-6720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty