Angel M Jimenez Mercado, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9560 Issued in PR

Practice address

42905 Carr 482
Quebradillas, PR 00678-9319

Phone

(787) 895-1069

Fax

(787) 895-1069

NPI assigned

Jun 4, 2006

Sex

Male

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

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1700825130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42905 CARR 482",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789319",
            "telephone_number": "787-895-1069",
            "fax_number": "787-895-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42905 CARR 482",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789319",
            "telephone_number": "787-895-1069",
            "fax_number": "787-895-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MERCADO",
        "first_name": "ANGEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J M Transport #1 Corp
• Jaime Abrams Mercado
• Jesus M. Diaz Delgado
• Idalis Jimenez Gonzalez, RPT
• Rose Mary Jimenez Gonzalez
• Carolina Jimenez Soto, DMD
• Erika Franchesca Jordan Collazo
• Jose a Rios Escoriza
• Jose R Padin Ruiz
• Elvin Jove-Velez, D.D.S.

• Internal Medicine Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.

Verify at the official NPI Registry.