Marilis Mercado Matos, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1521 Issued in PR

Practice address

Carr. 152 KM. 2.3 Bo. Quebradillas
Barranquitas, PR 00794

Phone

(787) 857-8383

Fax

(787) 857-4848

NPI assigned

Jul 13, 2011

Last updated

Jul 13, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital General Menonita Aibonito

  • Community Health Clinic/Center
  • Aibonito, PR
  • NPI 1720383458
  NPD (past) Authorized official
• Medicos Hospitalistas del Centro

  • General Acute Care Hospital
  • Barranquitas, PR
  • NPI 1932564044
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1427346360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051184",
            "telephone_number": "787-318-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 152 KM. 2.3 BO. QUEBRADILLAS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-857-8383",
            "fax_number": "787-857-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO MATOS",
        "first_name": "MARILIS",
        "name_prefix": "Ms.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicos Hospitalistas del Centro
• Lisaida Medina Mendez, MT,ASCP
• Tania Melendez, AUX
• Mennonite General Hospital (Oficina Radiologica Menonita Barranquitas)
• Mennonite General Hospital Inc (Hospital Menonita de Aibonito)
• Luz Ivette Mercado
• Noemi Mercado
• Jessica Del C. Morales
• Multi-Farma Inc.
• Yanira Narvaez, PHARMACY TECH.

• Nutritionist in Barranquitas, PR
• Providers in Barranquitas, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.