Jonathan Charriez Mercado, MD
Individual provider Active NPI Family Medicine Physician · Coamo, PR
NPI 1679062913 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1679062913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21913 (PR)
- Practice address
- 50 Calle Jose I Quinton
Coamo, PR 00769-2408 - Phone
- (787) 803-4774
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Menonita de Cayey
Practice addresses (Care Compare)
Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700
PO Box
Suite 372800
Cayey, PR 00737-2800
Hospital & facility affiliations
- Servicios de Salud En El Hogar Menonita
- Hospital Menonita de Cayey
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707003688 | PR | Practitioner - General Practice | 2961804364 |
Reassigns benefits to 1 organization Practice locations: Mayaguez, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21913 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Menonita de Cayey | Current |
Accepting new patients | |
| Hospital Menonita de Cayey | Single Specialty | Current |
Accepting new patients |
Interoperability endpoints
- jonathan.charriezmercado@3479.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 21913 | PR | Yes |
Addresses
Primary practice location
50 Calle Jose I Quinton
Coamo, PR 00769-2408
Mailing address
HC 72 Box 3766-129
Naranjito, PR 00719
Phone (407) 973-6799
Other providers in Coamo, PR
- Centro de Salud Familiar de Coamo
- Centro de Terapia Fisica Los Llanos Corp
- Centro Polimenonita de Coamo
- Centropolimenonita de Coamo
- Cesar Soto Santiago
- Chiropractic Radiology Imaging LLC
- Christian Colon Perez
- Graciela Clavell
- Clinica de Inteligencia Emocional, LLC
- Clinica de Nutricion del Sur LLC
All providers in Coamo, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.