Active NPI
Carmen Teresa Mercado, M.D.
- Pediatrics Physician
- Ponce, PR
National Provider Identifier
1093836108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8857
- Practice address
- 2279 Ponce by Pass
Caribean Medical Centre Suite 2312-2
Ponce, PR 00717 - Phone
- (787) 231-7697
- NPI assigned
- Apr 3, 2007
- Last updated
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8857 | PR | Primary |
Addresses
Primary practice location
2279 Ponce by Pass
Caribean Medical Centre Suite 2312-2
Ponce, PR 00717
Mailing address
Caribbean Medical Centre
Suite 2312-3
Ponce, PR 00717
Phone (787) 231-7697
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8857 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Ponce Inc | Past | Accepting new patients | |
| Hospital Menonita Ponce Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1235856253
-
dba Hospital Metropolitano Dr. Pila
- General Acute Care Hospital
- Ponce, PR
- NPI 1720306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1093836108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARIBBEAN MEDICAL CENTRE",
"address_2": "SUITE 2312-3",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-231-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 PONCE BY PASS",
"address_2": "CARIBEAN MEDICAL CENTRE SUITE 2312-2",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-231-7697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "CARMEN",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "8857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.