Individual provider Active NPI

Edgardo Pineiro-Mercado, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1619942240
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7243 Issued in PR
Practice address
8118 Calle Concordia
Edificio Galeria Profesional Suite 104
Ponce, PR 00717-1562
Phone
(787) 259-5465
Fax
(787) 259-4018
NPI assigned
Feb 17, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 7243 PR Primary

Addresses

Primary practice location

8118 Calle Concordia
Edificio Galeria Profesional Suite 104
Ponce, PR 00717-1562

Mailing address

8118 Calle Concordia
Edificio Galeria Profesional Suite 104
Ponce, PR 00717-1562
Phone (787) 259-5465

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
I20110930000390 PR Practitioner - Internal Medicine 9830361567 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7243PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1619942240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA",
            "address_2": "EDIFICIO GALERIA PROFESIONAL SUITE 104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171562",
            "telephone_number": "787-259-5465",
            "fax_number": "787-259-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA",
            "address_2": "EDIFICIO GALERIA PROFESIONAL SUITE 104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171562",
            "telephone_number": "787-259-5465",
            "fax_number": "787-259-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEIRO-MERCADO",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.