Active NPI
Ru Ben Luis Mercado Vargas, M.D.
- Specialist
- Bayamon, PR
National Provider Identifier
1497810923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4777
- Practice address
- 73 Calle Santa Cruz
Suite 214 Santa Cruz Medical
Bayamon, PR 00961-6910 - Phone
- (787) 798-4260
- NPI assigned
- Dec 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4777 | PR | Primary |
Addresses
Primary practice location
73 Calle Santa Cruz
Suite 214 Santa Cruz Medical
Bayamon, PR 00961-6910
Mailing address
B7 Calle Arturo R Mujica
Guaynabo, PR 00966-2140
Phone (787) 782-2988
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497810923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B7 CALLE ARTURO R MUJICA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662140",
"telephone_number": "787-782-2988",
"fax_number": "787-787-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CALLE SANTA CRUZ",
"address_2": "SUITE 214 SANTA CRUZ MEDICAL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616910",
"telephone_number": "787-798-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO VARGAS",
"first_name": "RU BEN",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "4777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.