Marcos Mercado de Gorgolas, M.D.
Individual provider Active NPI Neurological Surgery Physician · Manati, PR
NPI 1033147889 · NPPES record last updated Mar 30, 2019
Key facts
- NPI
- 1033147889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 14613 (PR)
- Practice address
- Manati Medical Center Dr Otero Lopez
Suite 201
Manati, PR 00674 - Phone
- (787) 621-3737
- Fax
- (787) 621-3251
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- University Central del Caribe Escuela de Medicina, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Manati Medical Center
201 Carr Hernandez Carrion Urb Atenas
Manati, PR 00674-1142
Phone (787) 621-3740
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 41 |
| Laminectomy or laminotomy (partial removal of spine bones) | 26 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000175 | PR | Practitioner - Neurosurgery | 9133104649 | Practice locations: Manati, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14613 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Neurological Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 14613 | PR | Yes |
Addresses
Primary practice location
Manati Medical Center Dr Otero Lopez
Suite 201
Manati, PR 00674
Mailing address
E1 Calle Miramonte
Garden Court
Guaynabo, PR 00966-2032
Phone (787) 621-3740
Other providers in Manati, PR
- Yarelis Mendez
- Marco Mendoza
- Scarlett Menjivar Florence
- Mente Sana Multidisciplinary Clinic PSC
- Meraki Servicios de Evaluaciones Y Terapias LLC
- Angel Luis Mercado
- Awa Mercado
- Diana Mercado
- Lourdes Mercado
- Sheila Mercado
All providers in Manati, PR · Neurological Surgery Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.