Active NPI
Louie Javier Mercado-Colon, DC
- Chiropractor
- Ponce, PR
National Provider Identifier
1376025619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 654
- Practice address
- 623 Ave la Ceiba
Ste 203
Ponce, PR 00717-1902 - Phone
- (787) 393-3310
- NPI assigned
- Sep 4, 2018
- Last updated
- Apr 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 654 | PR | Primary |
Addresses
Primary practice location
623 Ave la Ceiba
Ste 203
Ponce, PR 00717-1902
Mailing address
Estancias del Golf Club
386 Juan H Cintron
Ponce, PR 00730
Phone (787) 393-3310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190529001028 | PR | Practitioner - Chiropractic | 8123361516 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 654 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1376025619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTANCIAS DEL GOLF CLUB",
"address_2": "386 JUAN H CINTRON",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-393-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 AVE LA CEIBA",
"address_2": "STE 203",
"city": "PONCE",
"state": "PR",
"postal_code": "007171902",
"telephone_number": "787-393-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO-COLON",
"first_name": "LOUIE",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.