Active NPI
Paola Christina Mercado Millan, MD
- Cardiovascular Disease Physician
- Santurce, PR
National Provider Identifier
1689121634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22258
- Practice address
- 1395 Calle San Rafael # 20
Santurce, PR 00909-2518 - Phone
- (787) 999-7620
- NPI assigned
- Sep 7, 2016
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Internal Medicine Physician | 207R00000X | 34888 | PR | |
| Cardiovascular Disease Physician | 207RC0000X | 22258 | PR | Primary |
Addresses
Primary practice location
1395 Calle San Rafael # 20
Santurce, PR 00909-2518
Mailing address
1395 Calle San Rafael
Santurce, PR 00909-2518
Phone (787) 999-7620
Other practice location 1
University district hospital
Puerto Rico Medical Center Bo. Monacillos
San Juan, PR 00935
Phone (787) 955-6909
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Puerto Rico School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Doctor' S Ctr Manat Carr
2 KM 47.7
Manati, PR 00674-4894
Phone (787) 633-2671
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34888 | PR | MD | Internal Medicine Physician |
| 22258 | PR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCS PSC | Internal Medicine | Current | Accepting new patients |
| PC2M LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
51 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 798-1250
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Bayamon, PR
- NPI 1255221594
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors' Center Hospital San Fernando de la Carolina
- General Acute Care Hospital
- Carolina, PR
- NPI 1255736187
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Juan, PR
- NPI 1205539558
Hospital
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1699748236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1689121634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 CALLE SAN RAFAEL",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009092518",
"telephone_number": "787-999-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CALLE SAN RAFAEL # 20",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009092518",
"telephone_number": "787-999-7620"
}
],
"practiceLocations": [
{
"address_1": "University district hospital",
"address_2": "Puerto Rico Medical Center Bo. Monacillos",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00935",
"country_code": "US",
"telephone_number": "787-955-6909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO MILLAN",
"first_name": "PAOLA",
"middle_name": "CHRISTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "34888",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "22258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.