Genesis Yeideliz Mercado

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

014789 Issued in PR

Practice address

Carr 459 KM 3.1 Bo Camaseyes
Aguadilla, PR 00605

Phone

(787) 891-8822

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Farmacia Los Angeles de Isabela LLC

  • Community/Retail Pharmacy
  • Isabela, PR
  • NPI 1255342820
  NPD

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1609587872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624158",
            "telephone_number": "787-872-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 459 KM 3.1 BO CAMASEYES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-891-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "GENESIS",
        "middle_name": "YEIDELIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "014789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014789",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FARMACIALOSANGELES",
            "affiliation": "N",
            "address_1": "CARR 459 KM 3.1 BO CAMASEYES",
            "city": "AGUADILLA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Waleska N. Mendez
• Mente En Equilibrio LLC
• Mente Renovada Centro de Intervencion Clinica Social
• Sarahi Mercado Grafals, MSPT
• Jamaarl Mercado Rivera
• Jose A Mercado, DMD
• Jose Antonio Mercado Sr.
• Nelson A Mercado, DMD
• Metrohealth Radiation Oncology Group, Inc.
• Meyo Inc.

• Pharmacy Technician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.