Transforma Medical Mall Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TRANSFORMA MEDICAL MALL CORP.

Practice address

Calle 2 G-14
Urb. Villa Rica
Bayamon, PR 00959

Phone

(787) 785-4402

Fax

(787) 995-0283

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ismael Mercado, M.D.NPI 1376521997

Title

Ceo

Phone

(787) 785-4402

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ismael Mercado, MD

  • General Practice Physician
  • Bayamon, PR
  • NPI 1376521997
  NPD (past) Authorized official
• Jennifer Pabon Crespo, MD

  • General Practice Physician
  • Bayamon, PR
  • NPI 1003651613
  NPD (past)
• Neira I Segarra, M.D.

  • General Practice Physician
  • Bayamon, PR
  • NPI 1306824982
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1194960773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52217",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009502217",
            "telephone_number": "787-782-4402",
            "fax_number": "787-995-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 G-14",
            "address_2": "URB. VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-785-4402",
            "fax_number": "787-995-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMA MEDICAL MALL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-785-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda M Tort, O.D.
• Krizia M Tosado de Leon, MD
• Total Health Integrated Solutions, Inc
• TR Medical Management LLC
• Transforma Health Systems L.L.C.
• Transitcare LLC
• Transmed Ambulance Service Corp
• Alexandra N Travieso Blondet, L. PSYCH
• Veronica Trias Lopez, MD
• Dianolis Trinidad

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.