Diandra Roman Mercado

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

9405097 Issued in FL

Practice address

206 Cinnamon Bark PL
Valrico, FL 33594-3600

Phone

(787) 454-1049

NPI assigned

Jan 4, 2020

Last updated

Jan 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1083253231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CINNAMON BARK PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CINNAMON BARK PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943600",
            "telephone_number": "787-454-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN MERCADO",
        "first_name": "DIANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "9405097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Romand103@gmail.com",
            "affiliation": "N",
            "address_1": "206 Cinnamon Bark Pl",
            "city": "Valrico",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335943600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laritza Rodriguez Valdes
• Melissa R Rodriguez-Dalland
• Diana Yasmin Rodriguez
• Osvaldo Rodriguez, M.D.
• John A Rog, MD
• Amber Nicole Fogarty Roman, DC
• Elyse Romano, ATC, LAT
• Ronnie Grubbs Psy D PA
• Luis Antonio Rosa Jr.
• Rose Garden Healthcare Group LLC

• Wound Care Registered Nurse in Valrico, FL
• Providers in Valrico, FL by specialty
• Wound Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.