Karla M Mercado Pagan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15790I Issued in PR

Practice address

Ave Pedro Albizu Campos
Urb la Hacienda
Guayama, PR 00784

Phone

(787) 866-6662

NPI assigned

Feb 10, 2022

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1245984087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E19 EXT SAN JOSE",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007054013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PEDRO ALBIZU CAMPOS",
            "address_2": "URB LA HACIENDA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO PAGAN",
        "first_name": "KARLA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15790I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianne Stephanie Melendez Cora, PHARMD
• Luis R Melendez del Valle, MD
• Luis Antonio Melendez, M.D.
• Mennonite General Hospital Inc.
• Mennonite General Hospital, Inc
• Harry Mercado
• Mi Farmacia Inc
• Miranda OBGYN LLC
• Luis R Miranda-Iglesias, MD
• Angela M Miranda-Rivas, M.D.

• General Practice Physician in Guayama, PR
• Providers in Guayama, 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 Feb 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.