Individual provider Active NPI

Mercedes Pichardo, MD

  • Internal Medicine Physician
  • Las Marias, PR
National Provider Identifier
1558350355
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11618 Issued in PR
Practice address
Urb El Bosque
Calle Flamboyan D3
Las Marias, PR 00670
Phone
(787) 827-0195
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 11618 PR Primary

Addresses

Primary practice location

Urb El Bosque
Calle Flamboyan D3
Las Marias, PR 00670

Mailing address

PO Box 26
Mayaguez, PR 00681-0026
Phone (787) 834-4767

Other identifiers 1

IdentifierTypeStateIssuer
DM113019OtherPRASSMCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20110729000323 PR Practitioner - Internal Medicine 3173681368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince May 4, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 4, 2019 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Dec 15, 2024 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Dec 15, 2024 Accepting new patients
Hospital Menonita Caguas Inc Past Accepting new patients
Hospital Comunitario Buen Samaritano Inc Past Accepting new patients
Metro Caguas Incorporated Past Accepting new patients

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558350355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810026",
            "telephone_number": "787-834-4767",
            "fax_number": "787-834-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB EL BOSQUE",
            "address_2": "CALLE FLAMBOYAN D3",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "00670",
            "telephone_number": "787-827-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM113019",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.