Ketsy Pagan Mercado, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14225 Issued in PR

Practice address

Carr 941
Salida Barrio Jaguas
Gurabo, PR 00778

Phone

(787) 737-4866

Fax

(787) 737-0244

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ketsy Pagan Mercado Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 Menonita Humacao Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1578196820
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1215906987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL VALLE 206",
            "address_2": "CALLE POMARROSAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273217",
            "telephone_number": "787-745-5172",
            "fax_number": "787-737-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 941",
            "address_2": "SALIDA BARRIO JAGUAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-4866",
            "fax_number": "787-737-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN MERCADO",
        "first_name": "KETSY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "14225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETSY",
            "last_name": "PAGAN MERCADO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Legna Jennis Otero Villafane I, PSY.D
• Tania Marie Oyola Rosario, M. D.
• Amarilis Padilla Lugo, MD
• Nattasha I Padilla Nevarez
• Sylvia Paez, M.D.
• Ashley Ann Pagan Reyes
• Pancho Blu LLC Dba Farmacias Aliadas Gurabo
• Pediatric Professionals, CSP
• Andrea Paola Pereira Rodriguez, MD
• Yashira Marie Perez Agosto, AUXILIAR DE FARMACIA

• Pediatrics Physician in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.