Active NPI
Jamaarl Mercado Rivera
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1306734322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25211
- Practice address
- PO Box 4055
Aguadilla, PR 00605-4055 - Phone
- (787) 658-0000
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 25211 | PR | Primary |
Addresses
Primary practice location
PO Box 4055
Aguadilla, PR 00605-4055
Mailing address
HC 3 Box 17049
Quebradillas, PR 00678-9541
Phone (787) 324-0928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1306734322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 17049",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006789541",
"telephone_number": "787-324-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 4055",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006054055",
"telephone_number": "787-658-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO RIVERA",
"first_name": "JAMAARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "25211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.