Individual provider Active NPI

Carlos Rafael Mercado Mendez, PHARMD

  • Pharmacist
  • Humacao, PR
National Provider Identifier
1053078246
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6916 Issued in PR
Practice address
Carr PR 3 KM 85.9
Bo Candelero
Humacao, PR 00791
Phone
(787) 850-8011
Fax
(787) 850-5605
NPI assigned
Nov 22, 2021
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6916 PR Primary

Addresses

Primary practice location

Carr PR 3 KM 85.9
Bo Candelero
Humacao, PR 00791

Mailing address

48 Munoz Rivera
Cond Aquablue Apt PH4
San Juan, PR 00918
Phone (787) 298-4018

Other practice location 1

Carr 917 Km 0.1 Bo Tejas
Las Piedras, PR 00771
Phone (787) 733-0426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6916PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocasio C R Inc PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1053078246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MUNOZ RIVERA",
            "address_2": "COND AQUABLUE APT PH4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-298-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 3 KM 85.9",
            "address_2": "BO CANDELERO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-8011",
            "fax_number": "787-850-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 917 Km 0.1 Bo Tejas",
            "address_purpose": "LOCATION",
            "city": "Las Piedras",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "787-733-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO MENDEZ",
        "first_name": "CARLOS",
        "middle_name": "RAFAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.