Individual provider Active NPI

Fernanda Lidia Mercade, MD

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1184899700
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME101439 Issued in FL
Practice address
747 Ponce de Leon Blvd Ste 405
Coral Gables, FL 33134-2073
Phone
(864) 422-1007
Fax
(786) 442-2101
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME101439 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd Ste 405
Coral Gables, FL 33134-2073

Mailing address

747 Ponce de Leon Blvd Ste 405
Coral Gables, FL 33134-2073
Phone (864) 422-1007

Other identifiers 1

IdentifierTypeStateIssuer
000340600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081202000537 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3779644257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

230 Park St
Miami Springs, FL 33166-4452
Phone (305) 888-2607

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 405
Coral Gables, FL 33134
Phone (864) 422-1007

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

230 Park St
Miami Springs, FL 33166
Phone (305) 718-9800

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1184899700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 405",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "864-422-1007",
            "fax_number": "864-422-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 405",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "864-422-1007",
            "fax_number": "786-442-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADE",
        "first_name": "FERNANDA",
        "middle_name": "LIDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000340600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.