Maribel Mercado, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16932 Issued in PR

Practice address

HC 1 Box 9460
San Sebastian, PR 00685-9706

Phone

(787) 629-7066

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospicio Amor Y Tranquilidad Inc

  • Inpatient Hospice
  • Mayaguez, PR
  • NPI 1447519962

  Contracted Managing Employee

  CMS ownership
• J J E, Inc.

  dba Hospicio Toque de Amor

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1982819660

  Contracted Managing Employee

  CMS ownership
• Western Medical Hospice, Inc.

  • Community Based Hospice Care Agency
  • Mayaguez, PR
  • NPI 1639113301

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1699956847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 9460",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859706",
            "telephone_number": "787-629-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 9460",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859706",
            "telephone_number": "787-629-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysthel Keyla Mendez
• Maria Mendez
• Nilines Mendez, RPH
• Veronica Mercado Perez
• Mildred Enid Mercado Valle, M.S.W.
• Meridian Health LLC
• MGS Psicolog@S Limited Liability Company
• MGS Psicologos Limited Liability Company
• Mi Anhelo Corp (Mi Anhelo Corporation)
• Migrant Health Center Western Region Inc

• General Practice Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.