Individual provider Active NPI

Jayson Vazquez Mercado, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1740224534
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14309 Issued in PR
Practice address
2614 Calle Mayor
Ponce, PR 00717-2074
Phone
(787) 843-5118
Fax
(787) 651-7993
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14309 PR Primary

Addresses

Primary practice location

2614 Calle Mayor
Ponce, PR 00717-2074

Mailing address

Apto 409
Condominio Paseo del Principe
Ponce, PR 00716
Phone (787) 843-5118

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
I20041006000088 PR Practitioner - General PracticePractitioner - General SurgeryPractitioner - Emergency Medicine 7214996297 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8165 Calle Concordia
Edificio Cancel Suite 101
Ponce, PR 00717
Phone (787) 843-5118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Maunabo Past Accepting new patients

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1740224534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APTO 409",
            "address_2": "CONDOMINIO PASEO DEL PRINCIPE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-843-5118",
            "fax_number": "787-848-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-843-5118",
            "fax_number": "787-651-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MERCADO",
        "first_name": "JAYSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.