Active NPI
Jayson Vazquez Mercado, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1740224534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14309
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000088 | PR | Practitioner - General Practice | 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
| Organization | Specialty | Status | New 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.
-
- Rural Acute Care Hospital
- Maunabo, PR
- NPI 1932171790
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Adjuntas, PR
- NPI 1326043407
-
- Community Based Hospice Care Agency
- Arecibo, PR
- NPI 1609868645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.