Individual provider Active NPI

Hector Roman Mercado Ramirez, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1205557774
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22971 Issued in PR
Practice address
247 Villa Tuli
Mayaguez, PR 00682-7539
Phone
(787) 718-5090
NPI assigned
Sep 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 22971 PR Primary

Addresses

Primary practice location

247 Villa Tuli
Mayaguez, PR 00682-7539

Mailing address

247 Villa Tuli
Mayaguez, PR 00682-7539
Phone (787) 718-5090

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
I20221130000034 PR Practitioner - General Practice 5092183855 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

247 Villa Tuli
Mayaguez, PR 00682-7539
Phone (787) 718-5090

Hospital & facility affiliations

  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22971PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center - San Antonio Inc Past Accepting new patients
Metro Mayaguez 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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1205557774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 VILLA TULI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827539",
            "telephone_number": "787-718-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 VILLA TULI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827539",
            "telephone_number": "787-718-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO RAMIREZ",
        "first_name": "HECTOR",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.