Active NPI
Karla R Toledo Mercado
- Family Nurse Practitioner
- San Juan, PR
National Provider Identifier
1104405539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3820
- Practice address
- 2 Cond Jard San Francisco Apt 301
San Juan, PR 00927-6421 - Phone
- (939) 400-7086
- NPI assigned
- Apr 4, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3820 | PR | Primary |
Addresses
Primary practice location
2 Cond Jard San Francisco Apt 301
San Juan, PR 00927-6421
Mailing address
2 Cond Jard San Francisco Apt 301
San Juan, PR 00927-6421
Phone (939) 400-7086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4906540 | Other | PR | LICENSE NUMBER |
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 |
|---|---|---|---|
| 3820 | PR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617494400000",
"number": "1104405539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COND JARD SAN FRANCISCO APT 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276421",
"telephone_number": "939-400-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COND JARD SAN FRANCISCO APT 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276421",
"telephone_number": "939-400-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLEDO MERCADO",
"first_name": "KARLA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-04",
"last_updated": "2021-04-04",
"certification_date": "2021-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "3820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "4906540",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.