Organization Active NPI

Mercado Dermatology LLC

  • Dermatology Physician
  • Mayaguez, PR
National Provider Identifier
1528432903
Registry record updated Nov 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19054 Issued in PR
Legal business name
MERCADO DERMATOLOGY LLC
Practice address
27 Calle Nelson Perea
Suite 105
Mayaguez, PR 00680-4949
Phone
(787) 831-1000
Fax
(787) 831-1014
NPI assigned
Nov 22, 2015
Last updated
Nov 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2015

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

Authorized official

Name
Dr. Rogelio Mercado-Seda, M.D.NPI 1427359157
Title
Dermatologist
Phone
(787) 831-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 19054 PR Primary

Addresses

Primary practice location

27 Calle Nelson Perea
Suite 105
Mayaguez, PR 00680-4949

Mailing address

PO Box 343
Boqueron, PR 00622-0343
Phone (787) 831-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1528432903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220343",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE NELSON PEREA",
            "address_2": "SUITE 105",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-831-1000",
            "fax_number": "787-831-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO-SEDA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "787-831-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.