Juan Manuel Mercado, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18097 Issued in PR

Practice address

61 Via del Monte
Parque del Monte
Trujillo Alto, PR 00976-6089

Phone

(787) 236-3918

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  PR

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1033411426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 VIA DEL MONTE",
            "address_2": "PARQUE DEL MONTE",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766089",
            "telephone_number": "787-236-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 VIA DEL MONTE",
            "address_2": "PARQUE DEL MONTE",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766089",
            "telephone_number": "787-236-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Lisandra Melendez, OT
• Maria del Mar Melendez, RDN, LND
• Sonia Melendez, PH.D.
• Daisy Milagros Mercado Domacasse, MEDICINE DOCTOR
• Hector Mercado
• MH Transport LLC
• Ann E Miller, R.D.
• Nilmari Miranda Merced, RPH
• Elba M. Miranda, T.S.
• Mission Services LLC

• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.