Individual provider Active NPI

Maritza Perez Merced, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1437109477
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81640 Issued in FL
Practice address
4620 N 22ND St
Tampa, FL 33610-6205
Phone
(813) 272-6240
Fax
(813) 866-0929
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81640 FL Primary

Addresses

Primary practice location

4620 N 22ND St
Tampa, FL 33610-6205

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Other identifiers 1

IdentifierTypeStateIssuer
264162300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20101206000230 FL Practitioner - Internal Medicine 1355538208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME81640FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Oct 13, 2014 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Oct 13, 2014 Accepting new patients
Tampa Family Health Centers Inc Current Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

302 W Fletcher Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

12410 N Nebraska Ave
Tampa, FL 33612

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1437109477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-866-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106205",
            "telephone_number": "813-272-6240",
            "fax_number": "813-866-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MERCED",
        "first_name": "MARITZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264162300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.