Active NPI
Idalis Mercado Negron, MPHE, CTTS, CHES
- Health Educator
- Guaynabo, PR
National Provider Identifier
1083265607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 16160
- Practice address
- Calle Felipe de Plana #5
Guaynabo, PR 00966 - Phone
- (787) 999-6200
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1504 | PR | |
| Health Educator | 174H00000X | 16160 | PR | Primary |
Addresses
Primary practice location
Calle Felipe de Plana #5
Guaynabo, PR 00966
Mailing address
138 Ave Winston Churchill
San Juan, PR 00926-6013
Phone (787) 999-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16160 | Other | PR | CHES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16160 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1083265607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-999-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE FELIPE DE PLANA #5",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-999-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO NEGRON",
"first_name": "IDALIS",
"credential": "MPHE, CTTS, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2022-04-14",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "1504",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PR",
"license": "16160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHES",
"identifier": "16160",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Reinaldo Mercado Arizmendy, 0794P
- Carlos Mercado Martinez, 0991B
- Noemi Mercado Mercado, 1267B
- Orlando Mercado Mercado, 0728B
- Reinaldo Mercado Mercado, 1266P
- Julissa Mercado Rodriguez, 1166P
- Miguel A Mercado Rodriguez, 0725B
- Luis Mercado Santiago, 1412B
- Raul E Mercado Santisteban, PSYD
- Maria De Los Angeles Mercado Torres, 0833P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.