Active NPI
Jose A Mercado, DMD
- Dentist
- Aguadilla, PR
National Provider Identifier
1679619001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1988
- Practice address
- #2062 Ave Pedro Albiau Campos
Aguadilla, PR 00603 - Phone
- (787) 882-8255
- Fax
- (787) 882-8255
- NPI assigned
- Jan 30, 2007
- Last updated
- Oct 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1988 | PR | Primary |
Addresses
Primary practice location
#2062 Ave Pedro Albiau Campos
Aguadilla, PR 00603
Mailing address
PO Box 758
San German, PR 00683
Phone (787) 882-8255
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105003876 | PR | Practitioner - Dentist | 9032643697 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1988 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1679619001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-882-8255",
"fax_number": "787-882-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#2062 AVE PEDRO ALBIAU CAMPOS",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-8255",
"fax_number": "787-882-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "JOSE",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
- Mente En Equilibrio LLC
- Mente Renovada Centro de Intervencion Clinica Social
- Sarahi Mercado Grafals, MSPT
- Jamaarl Mercado Rivera
- Genesis Yeideliz Mercado
- Jose Antonio Mercado Sr.
- Nelson A Mercado, DMD
- Metrohealth Radiation Oncology Group, Inc. (Radiation Therapy and Cancer Institute)
- Meyo Inc.
- Mi Optica Vision Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.