Individual provider Active NPI

Salvador Mercado Mercado Sr., MD

  • Vascular & Interventional Radiology Physician
  • San Juan, PR
National Provider Identifier
1700879228
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
5839 Issued in PR
Practice address
Santa Rosa Ave. Aguas Buenas
BLQ. 16 Oficina 34
San Juan, PR 00921
Phone
(787) 614-1929
Fax
(787) 614-1929
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 5839 PR Primary

Addresses

Primary practice location

Santa Rosa Ave. Aguas Buenas
BLQ. 16 Oficina 34
San Juan, PR 00921

Mailing address

PO Box 127
Bayamon, PR 00960-0127
Phone (787) 614-1929

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000071 PR Practitioner - Interventional RadiologyPractitioner - Interventional Pain ManagementPractitioner - Diagnostic RadiologyPractitioner - Peripheral Vascular Disease 9830088137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Ave Juan Ponce de Leon Parada
5 Hospital Auxilio Mutuo
Hato Rey, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Hospital Pavia Arecibo Hospital, Arecibo, PR, CCN 400087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5839PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc. Past Accepting new patients
Dr Salvador Mercado Mercado CSP Past Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc Past Accepting new patients
Dr Salvador Mercado Mercado CSP Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1700879228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600127",
            "telephone_number": "787-614-1929",
            "fax_number": "787-614-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA ROSA AVE. AGUAS BUENAS",
            "address_2": "BLQ. 16 OFICINA 34",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-614-1929",
            "fax_number": "787-614-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO MERCADO",
        "first_name": "SALVADOR",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "5839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.