Daisy Milagros Mercado Domacasse, MEDICINE DOCTOR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15465 Issued in PR

Practice address

2 Ave Periferal Apt 1402
Trujillo Alto, PR 00976-2135

Phone

(787) 667-4994

NPI assigned

Aug 30, 2006

Last updated

Jun 22, 2020By the provider in NPPES

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

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

Specialty

General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1235249467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192993",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192993",
            "telephone_number": "787-667-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE PERIFERAL APT 1402",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762135",
            "telephone_number": "787-667-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Ave. Ponce De Leon, Pda. 26",
            "address_2": "Edif. Santurce Medical Mall Suite 101-D (Lobby-Primer P",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-268-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO DOMACASSE",
        "first_name": "DAISY",
        "middle_name": "MILAGROS",
        "credential": "MEDICINE DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Rachel Melendez Lopez, PSYD
• Jose A. Melendez Melendez
• Carmen Lisandra Melendez, OT
• Maria del Mar Melendez, RDN, LND
• Sonia Melendez, PH.D.
• Hector Mercado
• Juan Manuel Mercado, M.D.
• MH Transport LLC
• Ann E Miller, R.D.
• Nilmari Miranda Merced, RPH

• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.