Individual provider Active NPI

Karen Mendez Mercado, M.D.

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1174852073
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17713 Issued in PR
Practice address
Carr. 474 KM 1 Bo Mora Sector Felipe Mendez
Isabela, PR 00662-9153
Phone
(787) 872-4287
NPI assigned
Dec 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17713 PR Primary

Addresses

Primary practice location

Carr. 474 KM 1 Bo Mora Sector Felipe Mendez
Isabela, PR 00662-9153

Mailing address

Carr. 474 KM 1 Bo Mora Sector Felipe Mendez
Isabela, PR 00662-9153
Phone (787) 872-4287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000092 PR Practitioner - General Practice 9133356579 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17713PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1174852073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 474 KM 1 BO MORA SECTOR FELIPE MENDEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006629153",
            "telephone_number": "787-872-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 474 KM 1 BO MORA SECTOR FELIPE MENDEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006629153",
            "telephone_number": "787-872-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ MERCADO",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.