Eternamd

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

ME73229 Issued in FL

Legal business name

ETERNAMD

Practice address

1307 S International Pkwy
Suite #2091
Lake Mary, FL 32746-1413

Phone

(407) 771-0404

Fax

(407) 771-0405

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carlos E Mercado, M.D.NPI 1033139100

Title

Physician

Phone

(407) 771-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Mercado, M.D.

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1033139100
  NPD (past) Authorized official
• Mara De la Vega, MD

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1750335147
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1508016205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY",
            "address_2": "SUITE #2091",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461413",
            "telephone_number": "407-771-0404",
            "fax_number": "407-771-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY",
            "address_2": "SUITE #2091",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461413",
            "telephone_number": "407-771-0404",
            "fax_number": "407-771-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-771-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME73229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyla Lorraine Escobar, APRN
• Forooz Rose Esmaili
• Luis A. Espinet, D.M.D.
• Edwin Espinosa, DPT
• Mary E Estrada
• Taylor Stoeckert Eubank, APRN
• Jamal Anthon Evans Jr Jr.
• Jama Lynn Evans
• Evernorth Behavioral Care Group of California, P.C.
• Evernorth Behavioral Care Group of Florida, P.a.

• Ph.D. Medical Genetics in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Ph.D. Medical Genetics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.